ACUTE PURULENT PYELONEPHRITIS OF THE SINGLE KIDNEY

Background. One of the life-threatening diseases among patients with a single kidney is acute purulent pyelonephritis (APP). The disease accompanied by oliguria or anuria and in many cases comes development multiple organ dysfunction. Objectives. To present features clinical manifestations APP solitary kidney, results laboratory examination, role imaging methods (USG, MRI contrast-enhanced CT) identifying foci destruction parenchyma, immediate treatment kidney. Material methods. 10 were observed. CT MRI) detection parenchyma shown. Methods treating are considered: open organ-preserving surgery, nephrectomy; installation an internal ureteral stent followed antibiotic therapy puncture nephrostomy therapy. Results. best noted group who underwent surgery volume decapsulation excision carbuncles, opening abscesses drainage calices-pelvis system nephrostomy. 3 out needed hemodialysis. Conclusion. Open remains reliable adequate method surgical In case focus up to cm diameter signs apostematous pyelonephritis, effective 30% need hemodialysis treatment.