Emphysematous pyelonephritis: drainage or nephrectomy?
Four cases of emphysematous pyelonephritis are reported and the pathogenesis, surgical implications and preferred mode of management are discussed. We have not found percutaneous drainage to be useful, but feel there is an important place for surgical drainage alone because of the potential for renal recovery and the risks of emergency nephrectomy.
Department of Surgery, University Hospital, Kuala Lumpur, Malaysia.
K B
KB
Koh
H S
HS
Lam
S H
SH
Lee
D000368:Aged; D004322:Drainage; D004646:Emphysema / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011704:Pyelonephritis / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed