Gas-containing renal stones treated with percutaneous nephrolithotomy: case report.
We present a rare case of E. coli emphysematous pyelonephritis with sepsis. The radiologic presentation consisted of multiple radiolucent gas-filled, free-floating uric acid calculi in a hydronephrotic renal pelvis. The infection was treated by intravenous fluids and antibiotics and percutaneous nephrostomy drainage. The patient was rendered stone free by percutaneous nephrolithotomy and ultrasound lithotripsy.
Nilsen
F S
FS
Oslo Urological University Clinic, Aker Hospital, Norway.
Karlsen
S J
SJ
Gjertsen
O
O
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D004646:Emphysema / Q000150:complications; D004927:Escherichia coli Infections / Q000150:complications / Q000188:drug therapy; D005260:Female; D005740:Gases; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000601:surgery; D007669:Kidney Calculi / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D007674:Kidney Diseases / Q000150:complications / Q000188:drug therapy; D008096:Lithotripsy; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011704:Pyelonephritis / Q000150:complications / Q000382:microbiology; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D005740:Gases