Presentation
Diabetic patient presented with abdominal pain for a one-week duration associated with nausea and dysuria, blood test reveals leukocytosis. The ultrasound was unremarkable.
Patient Data
The inferior pole of the left kidney appears swollen and demonstrates reduced enhancement compared with the normal portions of the kidney, perinephric stranding and thickened Gerota facia, prominent collecting system with hyperemic urothelium seen along the non-dilated ureter, few reactive lymph nodes were seen along the renal vessels, no calculi or obstruction, no feature of lobar nephronia or renal/perinephric abscess, no emphysematous changes, no renal vein thrombosis, normal contrast excretion. Features of acute pyelonephritis.
Case Discussion
CT is the most sensitive imaging modality in detecting complications, however patients usually respond rapidly to medical treatment and no imaging is needed.
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