Emphysematous pyelonephritis mimicking a groin swelling—A rare presentation

Introduction: Emphysematous pyelonephritis is a life threatening infection of the kidney and peri-renal tissues. We present an interesting and rare presentation of this condition which is the first such case to be reported in literature. Observation: A 52-year-old diabetic presented with a right gro...

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Main Authors: A. Cheriyan, P. Mukherjee, A. Devasia
Format: Article
Language:English
Published: SpringerOpen 2018-09-01
Series:African Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S1110570418300432
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author A. Cheriyan
P. Mukherjee
A. Devasia
author_facet A. Cheriyan
P. Mukherjee
A. Devasia
author_sort A. Cheriyan
collection DOAJ
description Introduction: Emphysematous pyelonephritis is a life threatening infection of the kidney and peri-renal tissues. We present an interesting and rare presentation of this condition which is the first such case to be reported in literature. Observation: A 52-year-old diabetic presented with a right groin swelling. On evaluation and imaging he had right emphysematous pyelonephritis with a peri-renal collection tracking down till the scrotum, mimicking a groin swelling. Management involved broad spectrum antibiotics and aggressive drainage and debridement. Conclusion: Emphysematous pyelonephritis is a rare but important differential diagnosis for a groin swelling where early diagnosis and aggressive management is necessary. Keywords: Pyelonephritis, Emphysematous, Urinary infection, Hernia, Groin swelling
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spelling doaj.art-39fa35f4eb7042048f4737f9b93220d52022-12-21T23:07:43ZengSpringerOpenAfrican Journal of Urology1110-57042018-09-01243233235Emphysematous pyelonephritis mimicking a groin swelling—A rare presentationA. Cheriyan0P. Mukherjee1A. Devasia2Corresponding author at: Department of Urology, Christian Medical College, Vellore, Tamilnadu, 632004, India.; Department of Urology, Christian Medical College, Vellore, IndiaDepartment of Urology, Christian Medical College, Vellore, IndiaDepartment of Urology, Christian Medical College, Vellore, IndiaIntroduction: Emphysematous pyelonephritis is a life threatening infection of the kidney and peri-renal tissues. We present an interesting and rare presentation of this condition which is the first such case to be reported in literature. Observation: A 52-year-old diabetic presented with a right groin swelling. On evaluation and imaging he had right emphysematous pyelonephritis with a peri-renal collection tracking down till the scrotum, mimicking a groin swelling. Management involved broad spectrum antibiotics and aggressive drainage and debridement. Conclusion: Emphysematous pyelonephritis is a rare but important differential diagnosis for a groin swelling where early diagnosis and aggressive management is necessary. Keywords: Pyelonephritis, Emphysematous, Urinary infection, Hernia, Groin swellinghttp://www.sciencedirect.com/science/article/pii/S1110570418300432
spellingShingle A. Cheriyan
P. Mukherjee
A. Devasia
Emphysematous pyelonephritis mimicking a groin swelling—A rare presentation
African Journal of Urology
title Emphysematous pyelonephritis mimicking a groin swelling—A rare presentation
title_full Emphysematous pyelonephritis mimicking a groin swelling—A rare presentation
title_fullStr Emphysematous pyelonephritis mimicking a groin swelling—A rare presentation
title_full_unstemmed Emphysematous pyelonephritis mimicking a groin swelling—A rare presentation
title_short Emphysematous pyelonephritis mimicking a groin swelling—A rare presentation
title_sort emphysematous pyelonephritis mimicking a groin swelling a rare presentation
url http://www.sciencedirect.com/science/article/pii/S1110570418300432
work_keys_str_mv AT acheriyan emphysematouspyelonephritismimickingagroinswellingararepresentation
AT pmukherjee emphysematouspyelonephritismimickingagroinswellingararepresentation
AT adevasia emphysematouspyelonephritismimickingagroinswellingararepresentation