Pyonephrosis

Case contributed by Dr Ian Bickle

Presentation

Young patient with bilateral obstructive uropathy with renal failure. Bladder catheterisation yielded pus.

Patient Data

Age: 21
Gender: Male
Photo

Left: content of the left kidney.  Urine.

Right: content of the right kidney.  Frank pus.

Case Discussion

Pyonephrosis is pus within the renal collecting system.

It frequently occurs in an obstructed renal tract due to stasis.

Percutaneous nephrostomy insertion is a life saving first line treatment, to treat sepsis and prevent terminal renal impairment.

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Case information

rID: 28102
Case created: 10th Mar 2014
Last edited: 12th Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

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