MANAGING PATIENT WITH COEXISTING EMPHYSEMATOUS PYELONEPHRITIS AND CYSTITIS

Authors

  • 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.

Abstract

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.

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Published

2021-02-21

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