Journal of

Case Reports and Images in Urology

 
     
Case Report
 
Emphysematous pyelonephritis treated successfully with conservative management: A case report
Riyad Al Mousa1, Hend Alshamsi2, Khadijah Eid3, Basma Malalla4, Ali Al Abandi5, Ahmed Al Naami6
1Consultant Urology/NeuroUrology, Urology Department, King Fahd Specialist Hospital-Dammam, Dammam, Saudi Arabia
2Medical Intern, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
3Urology resident, Urology Department, King Fahd General Hospital, Jeddah, Saudi Arabia
4NeuroUrology Fellow, Urology Department, King Fahd Specialist Hospital-Dammam, Dammam, Saudi Arabia
5Urology consultant, Urology Department, Dammam Medical Complex, Dammam, Saudi Arabia
6Consultant interventional Radiology, Radiology Department, King Fahd Specialist Hospital-Dammam, Dammam, Saudi Arabia

Article ID: 100008Z15RM2018
doi: 10.5348/100008Z15RM2018CR

Corresponding Author :
Dr. Riyad T. Al Mousa,
Urology Department,
King Fahad Specialist Hospital Dammam

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pubmed] [Similar article in Google Scholar]

How to cite this article
Al Mousa RT, Alshamsi H, Eid K, Malalla B, Al Abandi A, Al Naami A. Emphysematous pyelonephritis treated successfully with conservative management: A case report. J Case Rep Images Urol 2018;3:100008Z15RM2018.


ABSTRACT

Introduction: Emphysematous pyelonephritis (EPN) is defined as an acute, severe necrotizing infection of the renal parenchyma and peri-renal tissue, which results in the presence of gas within the renal parenchyma, collecting system or perinephric tissue. EPN is a rare, life-threatening condition. Traditionally, immediate nephrectomy was the treatment of choice for such cases which posed high mortality rate (up to 40%). Recently, the mortality rates are reducing because of improved staging modalities due to better imaging modalities and effective antibiotics, percutaneous catheter drainage, double J stenting.
Case Report: A 63-year-old female, known case of ischemic heart disease, hypertension and long standing diabetes mellitus type II on insulin presented with picture suggestive of extensive emphysematous pyelonephritis. Due to her comorbidities and high risk for any anesthesia or major surgical intervention, we opted to treat patient conservatively with hydration, IV fluids, antibiotics and percutaneous nephrostomy drainage. Patient had a very successful course and she was fully recovered with conservative therapy.
Conclusion: Minimal invasive technique like percutaneous nephrostomy drainage can be considered as a safe and valid modality of treating selected patients with extensive emphysematous pyelonephritis thus reducing risk of mortality and major alternative procedures.

Keywords: Conservative, Emphysematous Pyelonephritis, Kidney, Percutaneous nephrostomy



[HTML Full Text]   [PDF Full Text]

Author Contributions

Riyad T. Al Mousa – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hend Alshamsi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Khadijah Eid – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Basma Malalla – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Ali Al Abandi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Ahmed Al Naami – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2018 Riyad T. Al Mousa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


  Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map  
  Copyright © 2018. Edorium. All rights reserved.