Emphysematous pyelonephritis

Case contributed by Dr Pradosh Kumar Sarangi

Presentation

8 year history of diabetes mellitus, uncontrolled for 6 months. Now with flank pain, continuous fever and dysuria for the past 1 week.

Patient Data

Age: 49 year
Gender: Male
Modality: CT

NCCT showing  left renal enlargement with architectural distortion. There is bubbly and linear streaks of air within renal parenchyma and perinephric space with intra renal fluid collection. Bilateral perinephric fat stranding and thickening of gerota fascia noted (more in left kidney)

Case Discussion

The non-contrast CT findings in this diabetic patients with history of fever, flank pain, leucocytosis, thrombocytopenia accurately diagnose Emphysematous pyelonephritis. It falls into type 2 emphysematous pyelonephritis according to the classification by Wan etal. Non-contrast CT was performed due to poor renal function (high serum urea and creatinine).

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Case Information

rID: 41366
Case created: 28th Nov 2015
Last edited: 30th Sep 2016
System: Urogenital
Inclusion in quiz mode: Included

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