Emphysematous pyelonephritis

Case contributed by Dr Ahmed Abd Rabou

Presentation

Diabetic patient with severe right loin pain and abdominal swelling.

Patient Data

Age: 50 years old
Gender: Female
CT

Enlargement and destruction of the right kidney which is replaced by large amount of mottled air with necrotic renal tissue within. The air almost fills also the renal pelvis, upper 1/2 segment of the right ureter. Additional smaller stone.

Diagnosis: Emphysematous pyelonephritis type I

Case Discussion

Diabetes mellitus is a risk factor for emphysematous pyelonephritis as well as the immunocompromised.

E. coli is the commonest organism. It is associated with bad prognosis.

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Case information

rID: 27191
Case created: 23rd Jan 2014
Last edited: 9th Oct 2016
System: Urogenital
Inclusion in quiz mode: Included

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