• Nadeem Iqbal Department of Urology and Kidney Transplant. Pakistan Kidney and Liver Institute, Lahore,Pakistan.
  • Anab Rehan Taseer Khyber Medical College, Peshawar.
  • Nayal Ahsan Peshawar Medical College and University of Michigan.
  • Priyanka Kumari Chandka Medical College.
  • Tania Platero Portillo Portillo MD,School of Medicine,University of El Salvador,El Salvador.
  • Aminah Abdul Razzack Malla Reddy Medical College. Research student fellow.
  • Faheemullah Khan Resident Diagnostic Radiology at Aga khan university Hospital, Karachi.
  • Saeed Akhter Pakistan Kidney and Liver Institute, Lahore, Pakistan.


Emphysematous pyelonephritis (EPN) is a type of critical renal infection having dire consequences at times. It is said to be result of gases produced inside renal parenchymal tissue or pelvicalyceal system. Rarely coexistence of emphysematous pyelonephritis and emphysematous cystitis (EC) may lead to an intimidating condition in case it is not dealt with swiftly. The resent case report narrates the management of a 45-year-old female patient who suffered from EPN with concomitant EC. Right-sided emergency percutaneous nephrostomy was passed. Afterwards, Double J stent was passed under general anaesthesia. Although she had an initial improvement clinically but later on due to recurrent urinary tract infections and non-resolving right kidney abscess and fever right sided nephrectomy was done. This is a very rare presentation and has not previously reported much in literature. Keywords: Emphysematous pyelonephritis; Emphysematous cystitis; Nephrectomy

Author Biographies

Nadeem Iqbal, Department of Urology and Kidney Transplant. Pakistan Kidney and Liver Institute, Lahore,Pakistan.

Department of Urology and Kidney Transplant.Pakistan Kidney and Liver Institute,Lahore,Pakistan.

Nayal Ahsan, Peshawar Medical College and University of Michigan.

Research student fellow.

Priyanka Kumari, Chandka Medical College.

Research student.


Dutta P, Bhansali A, Singh SK, Gupta KL, Baht MH, Masoodi SR, et al. Presentation and outcome of emphysematous renal tract disease in patients with diabetes mellitus. Urol Int 2007;78(1):13–22.

Boakes E, Batura D. Deriving a management algorithm for emphysematous pyelonephritis: Can we rely on minimally invasive strategies or should we be opting for earlier nephrectomy? Int Urol Nephrol 2017;49(12):2127–36.

Momin UZ, Ahmed Z, Nabir S, Ahmed MN, Al Hili S, Khanna M. Emphysematous prostatitis associated with emphysematous pyelonephritis and cystitis: A case report. J Clin Urol 2017;10(3):286–9.

Tsu JH, Chan CK, Chu RW, Law IC, Kong CK, Liu PL, et al. Emphysematous pyelonephritis: an 8-year retrospective review across four acute hospitals. Asian J Surg 2013;36(3):121–5.

Hu SY, Lee BJ, Tsai CA, Hsieh MS. Concurrent emphysematous pyelonephritis, cystitis, and iliopsoas abscess from discitis in a diabetic woman. Int J Infect Dis 2016;51:105–6.

Iqbal N, Shah ARM, Saif UB, Hasan A, Iqbal MW, Ali M. Emphysematous Cystitis in a Non-Diabetic Male. J Coll Physicians Surg Pak 2018;28:496–7.

Thomas AA, Lane BR, Thomas AZ, Remer EM, Campbell SC, Shoskes DA. Emphysematous cystitis: a review of 135 cases. BJU Int 2007;100(1):17–20.

Liao PH, Hsieh MS, Chen YC. Emphysematous cystitis. CMAJ 2020;192(12):E313.

Hassan MH, Iqbal N, Shahzad M, Khalid U I, Hassan A, Khalid M, et al. Emphysematous Pyelonephritis in a Male Diabetic Patient: A Case Report. EC Clin Med Case Rep 2020;3(4):52–5.

Schicho A, Stroszczynski C, Wiggermann P. Emphysematous cystitis: mortality, risk factors, and pathogens of a rare disease. Clin Pract 2017;7(2):930.



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