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PYONEPHROSIS TREATMENT

PYONEPHROSIS

It is collection of pus in pelvicalyceal system, which is converted into a multiloculated sac. Pyonephrosis is a term given to an infection of the kidney with pus in the upper collecting system which can progress to obstruction.

CAUSES :

  • Infection of pre-existing hydronephrosis.
  • Following acute pyelonephritis.
  • As a complication of renal calculus—either stone in the renal pelvis or staghorn calculus.

CLINICAL FEATURES:

  • Usually unilateral.
  • Triad - Anaemia - Fever - Loin swelling
  • Tender mass in the loin which is smooth, soft, not mobile, not moving with respiration.
  • Cystitis
  • Pyuria
  • burning micturition.
  • Features of toxicity such as fever with chills and rigors.

INVESTIGATIONS

  • Plain X-ray
  • KUB
  • IVU
  • Cystoscopy reveals cystitis with efflux of purulent pus through the ureteric orifice.
  • USG - shows dilatation.
  • DTPA scan
  • CT SCAN
  • MRI

COMPLICATIONS

  • sepsis
  • xanthogranulomatous pyelonephritis
  • renal abscess
  • perinephric abscess
  • fistula to pleura, colon and duodenum

HOMOEOPATHIC MANAGEMENT:

  • HEPAR SULPH
  • MER SOL
  • SILICEA
  • ARSENIC
  • CANTHARIS
  • APIS