title: Bilateral Emphysematous Pyelonephritis with Hepatic Portal Venous Gas: Case Report.
abstract: Emphysematous pyelonephritis is a rare life-threatening condition caused by a severe acute necrotising infection of the renal parenchyma and its perinephric tissues, and it is commonly seen in diabetic patients. There is a rare association between emphysematous pyelonephritis and hepatic portal venous gas. Hepatic portal venous gas is an uncommon radiological finding, which implies a significant underlying abdominal disease. The management of emphysematous pyelonephritis has evolved from prompt nephrectomy to medical therapy. In the present report, we present a case of a diabetic woman diagnosed with bilateral emphysematous pyelonephritis with hepatic portal venous gas that was successfully managed medically despite the presence of poor prognostic factors, such as acute renal failure and thrombocytopenia.
authors.affiliation: Department of Surgery, Hospital Segamat, KM 6, Jalan Genuang, 85000 Segamat, Johor, Malaysia.
authors.forename: Mao Li
authors.initials: ML
authors.lastname: Cheng
authors.affiliation: Department of Surgery, Hospital Segamat, KM 6, Jalan Genuang, 85000 Segamat, Johor, Malaysia.
authors.forename: Hasnizal
authors.initials: H
authors.lastname: Nording
authors.affiliation: Department of Surgery, Hospital Segamat, KM 6, Jalan Genuang, 85000 Segamat, Johor, Malaysia.
authors.forename: Chen Hong
authors.initials: CH
authors.lastname: Lim
keywords: acute renal failure; diabetes mellitus; hepatic veins; necrotizing pyelonephritis; nephrectomy