Emphysematous pyelonephritis is a rare and serious life-threatening condition due to a fulminant infection of the urinary tract. It is most often seen in diabetics and is defined by the presence of gas in the renal parenchyma secondary to bacterial infection. We highlight an unusual presentation (extensive renal sub capsular hematoma) of this condition and detail diagnostic and management considerations, including choice of imaging modalities. We present the case of a 63-year-old woman admitted to the emergency room for the management of severe sepsis secondary to an emphysematous pyelonephritis complicated by a large subcapsular hematoma of the kidney having extended into the omental bursa. To our knowledge, this complication is unique and never has been reported in the literature. Surgical treatment was necessary to control this severe infection. The medical and surgical management of emphysematous pyelonephritis must be aggressive and well-coordinated, early diagnosis, antibiotics and assessment for operative intervention are essential. Diabetes is the principal risk factor as well as immunodepression. The prognosis remains poor of this serious infection. Sub capsular hematoma is unusual and a good parameter to assess the severity of this infection. The presence pf gas in the urinary tract is the sign of the presence of an active anaerobe infection.
| Published in | World Journal of Medical Case Reports (Volume 2, Issue 1) |
| DOI | 10.11648/j.wjmcr.20210201.14 |
| Page(s) | 11-14 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Emphysematous Pyelonephritis, Diabetes, Subcapsular Hematoma, Omental Bursa
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APA Style
Ahmed Belkouch, Mustapha Nousair, Saad Zidouh, Rachid Sirbou, Said Jidane, et al. (2021). Emphysematous Pyelonephritis Complicated by Sub Capsular Renal Hematoma: A Case Report. World Journal of Medical Case Reports, 2(1), 11-14. https://doi.org/10.11648/j.wjmcr.20210201.14
ACS Style
Ahmed Belkouch; Mustapha Nousair; Saad Zidouh; Rachid Sirbou; Said Jidane, et al. Emphysematous Pyelonephritis Complicated by Sub Capsular Renal Hematoma: A Case Report. World J. Med. Case Rep. 2021, 2(1), 11-14. doi: 10.11648/j.wjmcr.20210201.14
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Download@article{10.11648/j.wjmcr.20210201.14,
author = {Ahmed Belkouch and Mustapha Nousair and Saad Zidouh and Rachid Sirbou and Said Jidane and Lahcen Belyamani},
title = {Emphysematous Pyelonephritis Complicated by Sub Capsular Renal Hematoma: A Case Report},
journal = {World Journal of Medical Case Reports},
volume = {2},
number = {1},
pages = {11-14},
doi = {10.11648/j.wjmcr.20210201.14},
url = {https://doi.org/10.11648/j.wjmcr.20210201.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20210201.14},
abstract = {Emphysematous pyelonephritis is a rare and serious life-threatening condition due to a fulminant infection of the urinary tract. It is most often seen in diabetics and is defined by the presence of gas in the renal parenchyma secondary to bacterial infection. We highlight an unusual presentation (extensive renal sub capsular hematoma) of this condition and detail diagnostic and management considerations, including choice of imaging modalities. We present the case of a 63-year-old woman admitted to the emergency room for the management of severe sepsis secondary to an emphysematous pyelonephritis complicated by a large subcapsular hematoma of the kidney having extended into the omental bursa. To our knowledge, this complication is unique and never has been reported in the literature. Surgical treatment was necessary to control this severe infection. The medical and surgical management of emphysematous pyelonephritis must be aggressive and well-coordinated, early diagnosis, antibiotics and assessment for operative intervention are essential. Diabetes is the principal risk factor as well as immunodepression. The prognosis remains poor of this serious infection. Sub capsular hematoma is unusual and a good parameter to assess the severity of this infection. The presence pf gas in the urinary tract is the sign of the presence of an active anaerobe infection.},
year = {2021}
}
TY - JOUR T1 - Emphysematous Pyelonephritis Complicated by Sub Capsular Renal Hematoma: A Case Report AU - Ahmed Belkouch AU - Mustapha Nousair AU - Saad Zidouh AU - Rachid Sirbou AU - Said Jidane AU - Lahcen Belyamani Y1 - 2021/03/04 PY - 2021 N1 - https://doi.org/10.11648/j.wjmcr.20210201.14 DO - 10.11648/j.wjmcr.20210201.14 T2 - World Journal of Medical Case Reports JF - World Journal of Medical Case Reports JO - World Journal of Medical Case Reports SP - 11 EP - 14 PB - Science Publishing Group SN - 2994-726X UR - https://doi.org/10.11648/j.wjmcr.20210201.14 AB - Emphysematous pyelonephritis is a rare and serious life-threatening condition due to a fulminant infection of the urinary tract. It is most often seen in diabetics and is defined by the presence of gas in the renal parenchyma secondary to bacterial infection. We highlight an unusual presentation (extensive renal sub capsular hematoma) of this condition and detail diagnostic and management considerations, including choice of imaging modalities. We present the case of a 63-year-old woman admitted to the emergency room for the management of severe sepsis secondary to an emphysematous pyelonephritis complicated by a large subcapsular hematoma of the kidney having extended into the omental bursa. To our knowledge, this complication is unique and never has been reported in the literature. Surgical treatment was necessary to control this severe infection. The medical and surgical management of emphysematous pyelonephritis must be aggressive and well-coordinated, early diagnosis, antibiotics and assessment for operative intervention are essential. Diabetes is the principal risk factor as well as immunodepression. The prognosis remains poor of this serious infection. Sub capsular hematoma is unusual and a good parameter to assess the severity of this infection. The presence pf gas in the urinary tract is the sign of the presence of an active anaerobe infection. VL - 2 IS - 1 ER -
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