Emphysematous pyelonephritis

Case contributed by Dr Henry Knipe

Presentation

Lower abdominal pain, very tender, renal failure.

Patient Data

Age: 80
Gender: Female
CT

The right kidney is abnormal with a dilated pelvicalyceal system that contain gas.

Extensive right perinephric fluid and fat stranding, also containing gas. This fluid may extend into the right psoas muscle and thus represents an abscess. Fat stranding around the right ureter.

Case Discussion

The patient proceeded to nephrosotomy and frank pus was drained. 

STANDARD BACTERIAL CULTURE 1. Escherichia coli 10^9 cfu/L

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Case information

rID: 39625
Published: 21st Sep 2015
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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