{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:38:20Z","timestamp":1788863900180,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,1,5]],"date-time":"2007-01-05T00:00:00Z","timestamp":1167955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective was to describe the last 10 years\u2019 experience of the diagnosis and treatment of renal, perinephric, and mixed abscesses in an academic reference center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>The medical records of 65 patients with renal, perinephric, and mixed abscesses treated at our hospital from January 1992 to December 2002 were reviewed. The data collected included predisposing factors, symptoms, physical examination, initial diagnosis, laboratory and radiologic evaluation, treatment, and clinical outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Perinephric abscesses were found in 33 (50.8%) patients, renal abscesses were found in 16 (24.6%), and 16 (24.6%) had mixed abscesses. Urolithiasis (28%) and diabetes mellitus (28%) were the most common predisposing conditions. The duration of symptoms before hospital admission ranged from 2 to 180\u00a0days (mean 20\u00a0days). Urine culture was positive in 43% of patients and blood culture was positive in 40% of patients. Most of the perinephric abscesses received an interventional treatment: surgical drainage (24%), percutaneous drainage (42%) or nephrectomy (24%). Most patients were cured (73.3%) on discharge from hospital. Mixed (renal and perinephric) abscess treatment was similar: percutaneous drainage (37.5%), surgical drainage (18.75%) or nephrectomy (37.5%). Most patients were cured (60%) on discharge from hospital. Renal abscesses, however, were treated medically in 69% of patients and 73% were cured on discharge from hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Perinephric and mixed abscesses are successfully managed by interventional treatment. Renal abscesses can be managed by medical treatment only, reserving interventional treatment for large collections or patients with clinical impairment. Early diagnosis is an important factor in the outcome of renal and perinephric abscesses.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-006-0162-x","type":"journal-article","created":{"date-parts":[[2007,1,11]],"date-time":"2007-01-11T15:36:06Z","timestamp":1168529766000},"page":"431-436","source":"Crossref","is-referenced-by-count":109,"title":["Renal and Perinephric Abscesses: Analysis of 65 Consecutive Cases"],"prefix":"10.1002","volume":"31","author":[{"given":"Rafael Ferreira","family":"Coelho","sequence":"first","affiliation":[{"name":"Department of Urology Hospital das Cl\u00ednicas, Faculty of Medicine, University of S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"R. Cardeal Arccoverde, No. 201 Apartment 143 05407\u2010000 S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edison D.","family":"Schneider\u2010Monteiro","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital das Cl\u00ednicas, Faculty of Medicine, University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Lu\u00eds Borges","family":"Mesquita","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital das Cl\u00ednicas, Faculty of Medicine, University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Mazzucchi","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital das Cl\u00ednicas, Faculty of Medicine, University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Marmo Lucon","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital das Cl\u00ednicas, Faculty of Medicine, University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Srougi","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital das Cl\u00ednicas, Faculty of Medicine, University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,1,5]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005792\u2010197411000\u201000004"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)62874-X"},{"key":"e_1_2_6_4_2","first-page":"72","article-title":"Perinephric abscess: current concepts in diagnosis and management","volume":"35","author":"Adachi RT","year":"1969","journal-title":"Am Surg"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35103-0"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365590310008884"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20105347(05)64443\u20106"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.139.6.1111"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.140.7.914"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090\u20104295(80)90132\u20106"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)43946-2"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)50311-0"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.3109\/00365598109179630"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0009\u20109260(99)90680\u20103"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20105347(01)66536\u20104"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.135.6.1187"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)55053-3"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-198803000-00005"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)49839-9"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-46652002000600009"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1081\/JDI\u2010120022558"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-006-0162-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-006-0162-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-006-0162-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T11:18:15Z","timestamp":1704712695000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-006-0162-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,1,5]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,2]]}},"alternative-id":["10.1007\/s00268-006-0162-x"],"URL":"https:\/\/doi.org\/10.1007\/s00268-006-0162-x","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,1,5]]}}}