Emphysematous Pyelonephritis with Renal Artery Pseudoaneurysm
Emphysematous pyelonephritis is an acute infection of the renal parenchyma and perinephric tissues caused by gas-forming microorganisms, resulting in the radiographic presence of gas in the kidney, collecting system, and surrounding spaces. Here we present a case of severe emphysematous pyelonephrit...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-07-01
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| Series: | Urology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442017300700 |
| _version_ | 1811220661637480448 |
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| author | Kevin Koo Elias S. Hyams |
| author_facet | Kevin Koo Elias S. Hyams |
| author_sort | Kevin Koo |
| collection | DOAJ |
| description | Emphysematous pyelonephritis is an acute infection of the renal parenchyma and perinephric tissues caused by gas-forming microorganisms, resulting in the radiographic presence of gas in the kidney, collecting system, and surrounding spaces. Here we present a case of severe emphysematous pyelonephritis in the setting of Klebsiella urosepsis. Surgical exploration of the flank revealed infectious disintegration of the renal parenchyma into a large phlegmon. The post-operative course was complicated by renal artery pseudoaneurysm and cutaneous fistualization of a perinephric fluid collection. Despite the high rate of mortality associated with this condition, the patient survived and has remained clinically well. |
| first_indexed | 2024-04-12T07:45:42Z |
| format | Article |
| id | doaj.art-3928381d92e94876bd76596729933b22 |
| institution | Directory Open Access Journal |
| issn | 2214-4420 |
| language | English |
| last_indexed | 2024-04-12T07:45:42Z |
| publishDate | 2017-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj.art-3928381d92e94876bd76596729933b222022-12-22T03:41:43ZengElsevierUrology Case Reports2214-44202017-07-0113C283010.1016/j.eucr.2017.03.026Emphysematous Pyelonephritis with Renal Artery PseudoaneurysmKevin KooElias S. HyamsEmphysematous pyelonephritis is an acute infection of the renal parenchyma and perinephric tissues caused by gas-forming microorganisms, resulting in the radiographic presence of gas in the kidney, collecting system, and surrounding spaces. Here we present a case of severe emphysematous pyelonephritis in the setting of Klebsiella urosepsis. Surgical exploration of the flank revealed infectious disintegration of the renal parenchyma into a large phlegmon. The post-operative course was complicated by renal artery pseudoaneurysm and cutaneous fistualization of a perinephric fluid collection. Despite the high rate of mortality associated with this condition, the patient survived and has remained clinically well.http://www.sciencedirect.com/science/article/pii/S2214442017300700Emphysematous pyelonephritisUrosepsisInfectionPseudoaneurysm |
| spellingShingle | Kevin Koo Elias S. Hyams Emphysematous Pyelonephritis with Renal Artery Pseudoaneurysm Urology Case Reports Emphysematous pyelonephritis Urosepsis Infection Pseudoaneurysm |
| title | Emphysematous Pyelonephritis with Renal Artery Pseudoaneurysm |
| title_full | Emphysematous Pyelonephritis with Renal Artery Pseudoaneurysm |
| title_fullStr | Emphysematous Pyelonephritis with Renal Artery Pseudoaneurysm |
| title_full_unstemmed | Emphysematous Pyelonephritis with Renal Artery Pseudoaneurysm |
| title_short | Emphysematous Pyelonephritis with Renal Artery Pseudoaneurysm |
| title_sort | emphysematous pyelonephritis with renal artery pseudoaneurysm |
| topic | Emphysematous pyelonephritis Urosepsis Infection Pseudoaneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2214442017300700 |
| work_keys_str_mv | AT kevinkoo emphysematouspyelonephritiswithrenalarterypseudoaneurysm AT eliasshyams emphysematouspyelonephritiswithrenalarterypseudoaneurysm |