Emphysematous pyelonephritis

Case contributed by Dr Jose Miguel Terrazas Najera

Presentation

10 years history of diabetes, uncontrolled for 1 month.

Patient Data

Age: 45 years
Gender: Female

The patient was referred for lumbar pain.

Scout view demonstrates gas pattern at the left renal fossa. CT scan better delineates gas collection. The left psoas muscle is also affected. The CT scan also shows a pneumoperitoneum.

Case Discussion

Features of emphysematous pyelonephritis of left kidney.

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