title: [Emergency nephrectomies: retrospective monocentric study, about eight cases].
abstract: OBJECTIVE
  Emergency nephrectomies are rare because of the improvement of the management of urinary tract infections and the development of radio-embolization. Few series of patients have been reported. The objective of our study is to assess the indication, the morbi-mortality and the outcome of the emergency nephrectomy performed in our hospital.
  
  
  METHODS
  Between January 2011 and November 2012, eight patients underwent an emergency nephrectomy at the University Hospital Center of Caen. The present review reports the characteristics of this emergency nephrectomy and their morbi-mortality.
  
  
  RESULTS
  Six women and two men were analyzed retrospectively between January 2011 and November 2012. All patients except one needed intensive care for a multiple-organ failure. All these eight emergency nephrectomies concerned a native kidney with a surgical approach as a lombotomy or subcostal laparotomy. Both patients survived. One patient need a renal dialysis support.
  
  
  CONCLUSIONS
  Emergency nephrectomy are rare. Uncontrolled urinary sepsis represents the main indication. Identifying the population at risk of evolution to the toxic shock is indispensable for a better and faster care and to reduce the mortality bound to the sepsis.
authors.affiliation: Service d'urologie, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France. Electronic address: mikael.secco@hotmail.fr.
authors.forename: M
authors.initials: M
authors.lastname: Secco
authors.forename: X
authors.initials: X
authors.lastname: Tillou
authors.forename: A
authors.initials: A
authors.lastname: Desmonts
authors.forename: C
authors.initials: C
authors.lastname: Orczyk
authors.forename: S
authors.initials: S
authors.lastname: Le Gal
authors.forename: H
authors.initials: H
authors.lastname: Bensadoun
authors.forename: A
authors.initials: A
authors.lastname: Doerfler
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D048909:Diabetes Complications; D004630:Emergencies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods / Q000401:mortality; D009765:Obesity / Q000150:complications; D050177:Overweight / Q000150:complications; D012189:Retrospective Studies; D012307:Risk Factors; D016019:Survival Analysis; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000601:surgery
keywords: Emergency; Infection urinaire; Nephrectomy; Néphrectomie; Sepsis urinaire; Urgence; Urinary infection; Urinary sepsis