Acute pyelonephritis with renal vein thrombosis

Case contributed by Aakash Patel , 26 Jan 2018
Diagnosis certain
Changed by Ian Bickle, 27 Jan 2018

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Presentation was changed:
Patient presented with left flank pain, heaviness and fever.
Body was changed:

Pyelonephritis is a bacterial infection of the renal parenchyma and renal pelvis commonly seen in young femalefemales. MostIt is most commonly associated with ascending spread of urinary tract infection. In cases of hematogenoushaematogenous spread of infection, renal abscess formation is more likely. E. coli is the most commonly found organism.

Evidence of obstruction in the setting of pyelonephritis, urgently requires percutaneous nephrostomy. 

Renal vein thrombosis secondary to pyelonephritis is very rare and is usually a late complication secondary to sepsis.

Emphysematous pyelonephritis is a complicated form of acute pyelonephritis, characterised by gas bubbles within the collection system.

  • -<p>Pyelonephritis is bacterial infection of the renal parenchyma and renal pelvis commonly seen in young female. Most commonly associated with ascending spread of urinary tract infection. In cases of hematogenous spread of infection, renal abscess formation is more likely. E. coli is the most commonly found organism.</p><p>Evidence of obstruction in the setting of pyelonephritis, urgently requires percutaneous nephrostomy. </p><p>Renal vein thrombosis secondary to pyelonephritis is very rare and is usually a late complication secondary to sepsis.</p><p>Emphysematous pyelonephritis is a complicated form of acute pyelonephritis, characterised by gas bubbles within the collection system.</p><p> </p><p> </p>
  • +<p>Pyelonephritis is a bacterial infection of the renal parenchyma and renal pelvis commonly seen in young females. It is most commonly associated with ascending spread of urinary tract infection. In cases of haematogenous spread of infection, renal abscess formation is more likely. E. coli is the most commonly found organism.</p><p>Evidence of obstruction in the setting of pyelonephritis urgently requires percutaneous nephrostomy. </p><p>Renal vein thrombosis secondary to pyelonephritis is very rare and is usually a late complication secondary to sepsis.</p><p>Emphysematous pyelonephritis is a complicated form of acute pyelonephritis, characterised by gas bubbles within the collection system.</p><p> </p><p> </p>

Updates to Study Attributes

Findings was changed:

Axial and coronal nephrogenic phase CT scan shows bulkyan enlarged left kidney with a striated nephrogram and perinephric fat stranding, suggestive of acute left pyelonephritis.

A well defined filling defect noted in left renal vein near the renal hilum reaching upto the level of drainage of gonadal vein, suggestive of left renal vein thrombosis.

A longitudinally oriented calculus noted in left proximal ureter.

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