Patients having polycystic kidneys are not usually subjected to surgical treatment, but there are certain conditions that may arise making resort to surgery advisable. In some cases in which there is considerable pain the Rovsing operation is indicated, puncturing or dissecting out some of the cysts that are causing pain due to the tension of the contained fluid. Other cases in which operative procedure may properly be employed are those of continued and dangerous hemorrhage and those complicated by calculus formation, renal abscess, new growth or tuberculosis. Instances of perinephric abscess complicating polycystic renal disease are not frequent. When this condition does arise, it usually has its origin in an infected cyst. Bilateral perinephric abscess complicating polycystic disease is exceedingly rare. I have not found a case reported in the recent medical literature. Such a one is herewith reported. J. N., a man, aged 37, a fireman, entered the Brady
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Francis Patton Twinem (1936) studied this question.