Emphysematous pyelitis

Case contributed by Dr Zeyad Metwalli

Presentation

55 year old diabetic male with 2-week history of gross hematuria.

Patient Data

Age: 55
Gender: Male
Modality: CT

Foci of air conforming to the renal calyces in this diabetic patient with hematuria is compatible with emphysematous pyelitis

Case Discussion

Foci of air which conform to the renal calyces in this diabetic patient with hematuria is compatible with emphysematous pyelitis. The lack of intraparenchymal air distinguishes this entity from emphysematous pyelonephritis, which carries a more grave prognosis and often requires surgical management. Calculi have been reported in association with emphysematous pyelitis as is seen in this patient. 

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Case Information

rID: 20237
Case created: 8th Nov 2012
Last edited: 8th Feb 2016
System: Urogenital
Inclusion in quiz mode: Included

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