Renal matrix stones in an emphysematous pyelonephritis.
A 74-year-old-woman was referred to our hospital for further examination. Her chief complaint had been a high-grade fever, but she was seen at our hospital without fever. Plain fi lm of kidney, ureter and bladder drip infusion pyelography and abdominal computed tomography (CT) showed a gas shadow surrounding calcifications in the right renal pelvis. We diagnosed right emphysematous pyelonephritis. Since changes in the CT findings were not remarkable for 2 weeks, we performed laparoscopic right nephrectomy, even though her condition had not worsened. The renal pelvis contained brownish and clayish matter. We report here this rare case of renal matrix stones.
Okochi
Hisao
H
Department of Urology, Kochi Medical School, Kochi, Japan.
Iiyama
Tatsuo
T
Kasahara
Kotaro
K
Moriki
Toshiaki
T
Inoue
Keiji
K
Shuin
Taro
T
D000368:Aged; D004646:Emphysema / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000175:diagnosis* / Q000601:surgery; D009392:Nephrectomy; D011704:Pyelonephritis / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery