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KMID : 0377619700180010043
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Korean Jungang Medical Journal
1970 Volume.18 No. 1 p.43 ~ p.47
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PYONEPHROSIS
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朴鍾哲/Park, Chong Chul
安雄埈/尹正哲/金時煌/玄采龍/韓榮/Ahn, Woong Choun/Yun, Jung Chul/Kim, Si Whang/Hyon, Chai Ryong/Han, Young
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Abstract
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A clinical observation was made on the pyonephrosis of the in-patient in the Department of Urology, Seoul National University Hospital during the period from January, 1965 to June, 1969 and the results were as follows:
1. Of 1,420 cases hospitalized, 11 cases were pyonephrosis, giving a rate of 0.77%.
Age distribution ranged from 22 to66 years with the average of 40 years and the most prevalent was fourth and fifth decade.
2. As to the etiologic factors of the pyonephrosis,4 cases were due to non-specific inflammation, 2 of whom diabetes mellitus, 3 renal tuberculosis, 2 renal or ureter stone, 1 congenital ureteropelvic junction stenosis and 1 postirradiative ureteral obstruction.
3. The most common complaints were pain on the involved site in 10 cases. Palpable mass, fever and chill, and G-1 symptoms were found in 8 cases respectively. Costovertebral angle tenderness, turbid urine and anemia were noted in 6 cases and frequency in 5 cases, hematuria in 4 cases and dysuria, general weakness, headache and or dizziness in 3 cases respectively.
4. Among the 11 cases, 9 showed non-function on intravenous pyelogram, 1 showed delayed visualization with calyceal displacement downward. On retrograde pyelography, 5 cases showed moderate hydronephrosis, 3 cases showed advanced hydronephrosis and in 3 cases retrograde pyelography failed due to ureteral obstruction.
5. Nephrectomy was performed in 9 cases, nephrectomy after nephrostomy in I case, and no operation in 1 case.
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