Conservative management of emphysematous pyelonephritis in a horseshoe kidney | Zendy

M Gargouri | Zendy; R. Boulma | Zendy; Yousri Kallel | Zendy; M. Chelif | Zendy; Sami Ben Rhouma | Zendy; Yassine Nouira | Zendy

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Conservative management of emphysematous pyelonephritis in a horseshoe kidney

Author(s) -

M Gargouri,

R. Boulma,

Yousri Kallel,

M. Chelif,

Sami Ben Rhouma,

Yassine Nouira

Publication year - 2014

Publication title -

african journal of urology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.174

H-Index - 11

eISSN - 1110-5704

pISSN - 1961-9987

DOI - 10.1016/j.afju.2014.03.001

Subject(s) - horseshoe kidney , medicine , nephrectomy , conservative management , sepsis , percutaneous , kidney , xanthogranulomatous pyelonephritis , conservative treatment , urinary system , surgery , urinary tract obstruction , computed tomography , radiology

Emphysematous pyelonephritis (EPN) is an acute infection of the kidney, characterized by the presence of gas in the renal parenchyma and collecting system. Conservative management is rarely effective to treat this severe infection and the accepted treatment consists of early nephrectomy. Herein, we report a case of EPN in a horseshoe kidney, presented in a 67-year-old, diabetic woman. A percutaneous drainage of the kidney, under computed tomography control, was realized in emergency to manage her sepsis. A pelvic ureteral calculus was found to be responsible for the urinary obstruction and the infection. It was extracted endoscopically, three weeks later and the evolution was uneventful

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