Open AccessHiding in Plain Sight: A Case of Perinephric Abscess Diagnosed by POCUS
Author(s) -
David B. Haughey,
Tai Truong
Publication year - 2020
Publication title -
pocus journal
Language(s) - English
Resource type - Journals
ISSN - 2369-8543
DOI - 10.24908/pocus.v5i2.14430
Subject(s) - obstructive uropathy , hydronephrosis , medicine , adipose capsule of kidney , abscess , surgery , kidney , radiology , urinary system
An 87 year old male with obstructive uropathy was initially diagnosed with acute kidney injury (AKI), a new renal mass and hydronephrosis. When transferred to a facility with a hospital medicine POCUS program, the renal mass was correctly identified as a perinephric abscess, which was percutaneously drained leading to resolution of AKI and the underlying infection. Renal POCUS is readily taught via brief educational interventions and empowers providers to identify common (hydronephrosis) and uncommon (perinephric abscess) renal pathology at the bedside.