Open AccessManagement of a Rare Emphysematous Pyelonephritis Complicated by a Large Retroperitoneal Collection
Author(s) -
DR Yassine Larrache,
DR Adil Kbirou,
DR Safwate Reda,
PR Amine Moataz,
PR Dakir Mohammed,
PR Adil Debbagh,
PR Rachid Aboutaieb
Publication year - 2021
Publication title -
scholars journal of medical case reports
Language(s) - English
Resource type - Journals
eISSN - 2347-9507
pISSN - 2347-6559
DOI - 10.36347/sjmcr.2021.v09i12.012
Subject(s) - medicine , nephrectomy , percutaneous , radiological weapon , shock (circulatory) , radiology , antibiotic therapy , surgery , conservative management , antibiotics , drainage , intensive care medicine , kidney , biology , microbiology and biotechnology , ecology
Emphysematous pyelonephritis is a diagnostic and therapeutic emergency, the management depends on the radiological classification of Hyaung and Tseng, the patient's condition and the presence of risk factors namely: thrombocytopenia, acute renal failure, shock and disturbances of consciousness.Conservative treatment based on antibiotic therapy, percutane drainage is most often indicated, and nephrectomy is reserved for severe forms. We report a case of rare emphysematous pyelonephritis complicated by a large retroperitoneal collection. The treatment was an antibiotherapy associated with percutaneous drainage and the evolution was favorable.