Emphysematous pyelonephritis in a non-diabetic patient with non-obstructed kidney: an unknown entity.
Emphysematous pyelonephritis (EPN) is an acute necrotizing infection with evidence of gas inside the kidney, perinephric space, and/or urinary collecting system. This condition is usually encountered in an obstructed urinary system of diabetics or immunocompromised patients and carries poor prognosis. The gold standard for early diagnosis is computed tomography (CT) of the abdomen. Percutaneous/surgical drainage and urgent or delayed nephrectomy are the available treatment options. We report one case of EPN, which was diagnosed in an immunocompetent non-diabetic man with a non-obstructed urinary system.
Department of Surgery, University College of Medical Sciences, Delhi, India. dribdubey@gmail.com
Indu Bhushan
IB
Dubey
Vivek
V
Agrawal
Bhupendra Kumar
BK
Jain
Dharmendra
D
Prasad
D003920:Diabetes Mellitus; D003937:Diagnosis, Differential; D004646:Emphysema / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000000981:diagnostic imaging* / Q000209:etiology; D014057:Tomography, X-Ray Computed