[A case of emphysematous pyelonephritis with septic shock recovered by transurethral drainage of pelvis].
A case of emphysematous pyelonephritis with septic shock was present in a 58-year-old diabetic woman. The spontaneous production of gas was present within the right renal pelvis in kidney-ureter-bladder X-ray. The patient's condition deteriorated rapidly after admission, became complicated with acute renal failure, disseminated intravascular coagulation and acute respiratory failure. Transurethral drainage of the pelvis using a 6 Fr. UPJ occlusion balloon catheter and endotracheal intubation with respiratory assistance were performed as a life-saving procedure. The optimal therapy with surgical or conservative approach for such a severe condition is discussed. The use of transurethral drainage of pelvis as a non-invasive treatment is suggested.
Okamoto
T
T
Department of Urology, School of Medicine, Iwate Medical University.
Nomura
K
K
Abe
T
T
Yokota
K
K
Banya
Y
Y
Kubo
T
T
Ohhori
T
T
D058186:Acute Kidney Injury / Q000209:etiology; D002404:Catheterization; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D004322:Drainage / Q000379:methods*; D004646:Emphysema / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D007682:Kidney Pelvis; D008875:Middle Aged; D009102:Multiple Organ Failure; D011704:Pyelonephritis / Q000150:complications / Q000628:therapy*; D012772:Shock, Septic / Q000209:etiology*