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Emphysematous Pyelonephritis: Surgical Implications
Author(s) -
SHAHATTO N.,
AWADHI N. Z. AL,
GHAZALI S.
Publication year - 1990
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1990.tb07184.x
Subject(s) - medicine , nephrostomy , diabetes mellitus , percutaneous nephrostomy , antibiotics , xanthogranulomatous pyelonephritis , intensive care medicine , percutaneous , surgery , urology , kidney , nephrectomy , microbiology and biotechnology , biology , endocrinology
Summary— Emphysematous pyelonephritis in patients with diabetes mellitus is increasingly recognised as a disease requiring urgent and aggressive treatment. We present 3 cases of emphysematous pyelonephritis; 1 patient required percutaneous nephrostomy followed by nephroureterectomy but the other 2 were successfully managed with antibiotics and control of diabetes. Diagnosis was confirmed by sequential imaging techniques which demonstrated an inflammatory renal mass associated with gas and fluid.