Spontaneous rupture of pyonephrosis leading to pyoperitoneum

Forniceal rupture after pyonephrosis can lead to retroperitoneal abscess but extension into peritoneal cavity is unusual. We present a case of 50 year old lady who presented with acute abdomen, CT scan of abdomen showed features suggestive of left pyelonephritis and large intraperitoneal collection....

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Autores principales: Jalbani, Imran Khan, Khurrum, Muhammad, Aziz, Wajahat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Inflammation and Infection
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586947/
https://www.ncbi.nlm.nih.gov/pubmed/31275807
http://dx.doi.org/10.1016/j.eucr.2019.100928
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author Jalbani, Imran Khan
Khurrum, Muhammad
Aziz, Wajahat
author_facet Jalbani, Imran Khan
Khurrum, Muhammad
Aziz, Wajahat
author_sort Jalbani, Imran Khan
collection PubMed
description Forniceal rupture after pyonephrosis can lead to retroperitoneal abscess but extension into peritoneal cavity is unusual. We present a case of 50 year old lady who presented with acute abdomen, CT scan of abdomen showed features suggestive of left pyelonephritis and large intraperitoneal collection. Laparotomy was planned on suspicion of intraperitoneal source of sepsis. Peroperatively no intraperitoneal source of sepsis was found. Retrograde pyelography showed forniceal rupture at lower pole of kidney extending to peritoneal cavity without any obstructing stone or lesion. This case highlights an unusual presentation of pyonephrosis with peritonitis and pyoperitoneum.
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spelling pubmed-65869472019-07-02 Spontaneous rupture of pyonephrosis leading to pyoperitoneum Jalbani, Imran Khan Khurrum, Muhammad Aziz, Wajahat Urol Case Rep Inflammation and Infection Forniceal rupture after pyonephrosis can lead to retroperitoneal abscess but extension into peritoneal cavity is unusual. We present a case of 50 year old lady who presented with acute abdomen, CT scan of abdomen showed features suggestive of left pyelonephritis and large intraperitoneal collection. Laparotomy was planned on suspicion of intraperitoneal source of sepsis. Peroperatively no intraperitoneal source of sepsis was found. Retrograde pyelography showed forniceal rupture at lower pole of kidney extending to peritoneal cavity without any obstructing stone or lesion. This case highlights an unusual presentation of pyonephrosis with peritonitis and pyoperitoneum. Elsevier 2019-05-31 /pmc/articles/PMC6586947/ /pubmed/31275807 http://dx.doi.org/10.1016/j.eucr.2019.100928 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Inflammation and Infection
Jalbani, Imran Khan
Khurrum, Muhammad
Aziz, Wajahat
Spontaneous rupture of pyonephrosis leading to pyoperitoneum
title Spontaneous rupture of pyonephrosis leading to pyoperitoneum
title_full Spontaneous rupture of pyonephrosis leading to pyoperitoneum
title_fullStr Spontaneous rupture of pyonephrosis leading to pyoperitoneum
title_full_unstemmed Spontaneous rupture of pyonephrosis leading to pyoperitoneum
title_short Spontaneous rupture of pyonephrosis leading to pyoperitoneum
title_sort spontaneous rupture of pyonephrosis leading to pyoperitoneum
topic Inflammation and Infection
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586947/
https://www.ncbi.nlm.nih.gov/pubmed/31275807
http://dx.doi.org/10.1016/j.eucr.2019.100928
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