A RARE CASE OF PERINEPHRIC ABSCESS SQUELED INTO ACUTE INTESTINAL OBSTRUCTION

Introduction: A perinephric abscess is a collection of suppurative material in the perinephric space. Perinephric abscess results from perirenal fat necrosis. A perinephric abscess is a life-threatening entity that is usually a complication of urologic infection. Most perirenal abscesses were due to prolonged bacteremia with Staphylococcus aureus followed by hematogenous seeding before the era of antibiotics. More than 75% of perinephric abscesses are now due to complications of urinary tract infection (UTI). Case report:A 50 years old male came in our emergency department with complaint of on and off pain in left flank of abdomen for 1month, Burning micturation for 15 days, intermittent fever for 7 days. Initially empirical medical treatment with DJS done but symptom not relived and feature of onstruction developed. Then on exploratory Laprotomy omentum was attached to wall of retroperitonial perinephric abscess which was about to burst. This omental adhesion was causing acute intestinal obstruction due to small bowel compression. Then adhesiolysis & repositioning of the omentum done and I&D done via retroperitonial approach. Patient got relieved after surgery and passed motion on 2nd post op day and dischared on 5th day. Conclusion:Even uncomplicated urinary tract infection can land up into life-threatening complication such as perinephric abscess, acute obstruction so we kept in mind about this complication.