title: Emphysematous pyelonephritis in a solitary kidney.
abstract: Emphysematous pyelonephritis in a solitary kidney was present in a diabetic patient with servere electrolyte imbalance, hyperglycemia, oliguria and electrocardiographic changes suggestive of myocardial infarction. Percutaneous nephrostomy was performed as a life-saving procedure and a week later a large matrix stone obstructing the renal pelvis was removed. The optimal therapy with a surgical or conservative approach is discussed. The use of percutaneous nephrostomy as an initial lifesaving procedure is suggested.
mesh_terms: D048909:Diabetes Complications; D004646:Emphysema / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007669:Kidney Calculi / Q000150:complications; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery