Emphysematous pyelonephritis

Case contributed by Dr Amit Parekh

Presentation

Diabetic male presented with haematuria, fever and sepsis. The patient was also found to be in acute renal failure.

Patient Data

Age: 75 years
Gender: Male
CT

Non contrast CT showing bilateral hydronephrosis, hydroureter and gas in the collecting systems of the right kidney, right ureter and bladder. There is free gas in the right perinephric space and marked perinephric stranding. The bladder is thick walled and catheterised. There is an incidental 42mm left hyperdense renal cyst (85 HU).

Case Discussion

Gas in the collecting system and perirenal space which classifies this as 3a according to the Huang-Tseng CT classification system of emphysematous pyelonephritis. The causative organism was found to be pseudomonas.

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Case information

rID: 52761
Case created: 20th Apr 2017
Last edited: 30th May 2017
System: Urogenital
Tag: urology
Inclusion in quiz mode: Included

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