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Article
December 27, 1924

PERINEPHRITIC ABSCESS AS A UROLOGIC PROBLEM

Author Affiliations

KANSAS CITY, MO.
From the urologic service, the University of Kansas School of Medicine.

JAMA. 1924;83(26):2074-2080. doi:10.1001/jama.1924.02660260018007
Abstract

Perinephritic abscess is a disease that has long been known; it was described by Hippocrates 1 in 460 B.C., who said, "As soon as a swelling has appeared in the region of the kidney, one should incise it down to the kidney." It is only within recent years that surgeons have deviated a hair's breadth from this advice. From the time of Hippocrates until 1879, when Rayer 2 classified perinephritic abscess as primary and secondary, considering those primary which originated in the perinephritic tissues and those secondary which extended to the perinephritic structures from a diseased kidney, no advance was made in the knowledge of this subject. It was Ramon Guiteras 3 who, in writing on this subject in 1906, stated that it was his conviction that primary perinephritic abscess did not exist except as a direct infection of the wound. Gustav Doberauer,4 in presenting a study of twelve

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