title: Emphysematous pyelonephritis with complete duplication of the left urinary tract.
abstract: Emphysematous pyelonephritis (EPN) is a life-threatening bacterial infection and should be treated rapidly and carefully. We report a case of EPN with complete duplication of the left urinary tract. A 68-year-old woman was admitted to our hospital complaining of high-grade fever and left flank pain. An abdominal computed tomography scan showed gas was presented in the renal parenchyma, not only the pelvis and ureter. Based on these findings, a diagnosis of left EPN was made. A partial nephrectomy of the affected left upper pole moiety was performed and the patient underwent additional medical management. Other 83 cases of EPN from the Japanese literature were reviewed.
authors.affiliation: Department of Urology, Sasebo Central Hospital, Nagasaki, Japan; Department of Urology, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan;
authors.forename: Yasuto
authors.initials: Y
authors.lastname: Yamasaki
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Koga
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Minami
authors.forename: Hideki
authors.initials: H
authors.lastname: Sakai