Nephron-sparing surgery in case of emphysematous pyelonephritis

Emphysematous pyelonephritis is fatal necrotizing infection where life saving emergency nephrectomy is recommended for severe cases, but we performed nephron sparing surgery. Elderly diabetic female presented with left flank pain and fever for 15 days. On examination tender lump was palpable in left...

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Autores principales: Kalathia, Jaisukh, Chipde, Saurabh Sudhir, Agrawal, Santosh, Agrawal, Rajeev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660705/
https://www.ncbi.nlm.nih.gov/pubmed/26692674
http://dx.doi.org/10.4103/0974-7796.162211
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author Kalathia, Jaisukh
Chipde, Saurabh Sudhir
Agrawal, Santosh
Agrawal, Rajeev
author_facet Kalathia, Jaisukh
Chipde, Saurabh Sudhir
Agrawal, Santosh
Agrawal, Rajeev
author_sort Kalathia, Jaisukh
collection PubMed
description Emphysematous pyelonephritis is fatal necrotizing infection where life saving emergency nephrectomy is recommended for severe cases, but we performed nephron sparing surgery. Elderly diabetic female presented with left flank pain and fever for 15 days. On examination tender lump was palpable in left lumbar region. Investigations showed hyperglycemia, leucocytosis and creatinine 3.0 mg/dl. NCCT-KUB suggested class 3B-EPN. Following emergency pigtail, a repeat CT-scan suggested upper and lower pole destruction. In open drainage both poles debrided with sparing of middle pole. Follow-up CECT-KUB showed spared kidney with normal function. No literature for nephron sparing surgery in similar cases of EPN was found.
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spelling pubmed-46607052015-12-11 Nephron-sparing surgery in case of emphysematous pyelonephritis Kalathia, Jaisukh Chipde, Saurabh Sudhir Agrawal, Santosh Agrawal, Rajeev Urol Ann Case Report Emphysematous pyelonephritis is fatal necrotizing infection where life saving emergency nephrectomy is recommended for severe cases, but we performed nephron sparing surgery. Elderly diabetic female presented with left flank pain and fever for 15 days. On examination tender lump was palpable in left lumbar region. Investigations showed hyperglycemia, leucocytosis and creatinine 3.0 mg/dl. NCCT-KUB suggested class 3B-EPN. Following emergency pigtail, a repeat CT-scan suggested upper and lower pole destruction. In open drainage both poles debrided with sparing of middle pole. Follow-up CECT-KUB showed spared kidney with normal function. No literature for nephron sparing surgery in similar cases of EPN was found. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4660705/ /pubmed/26692674 http://dx.doi.org/10.4103/0974-7796.162211 Text en Copyright: © Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kalathia, Jaisukh
Chipde, Saurabh Sudhir
Agrawal, Santosh
Agrawal, Rajeev
Nephron-sparing surgery in case of emphysematous pyelonephritis
title Nephron-sparing surgery in case of emphysematous pyelonephritis
title_full Nephron-sparing surgery in case of emphysematous pyelonephritis
title_fullStr Nephron-sparing surgery in case of emphysematous pyelonephritis
title_full_unstemmed Nephron-sparing surgery in case of emphysematous pyelonephritis
title_short Nephron-sparing surgery in case of emphysematous pyelonephritis
title_sort nephron-sparing surgery in case of emphysematous pyelonephritis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660705/
https://www.ncbi.nlm.nih.gov/pubmed/26692674
http://dx.doi.org/10.4103/0974-7796.162211
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