Abstract
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.
Original language | English (US) |
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Pages (from-to) | 28-30 |
Number of pages | 3 |
Journal | Urology Case Reports |
Volume | 13 |
DOIs | |
State | Published - Jul 1 2017 |
Externally published | Yes |
Keywords
- Emphysematous pyelonephritis
- Infection
- Pseudoaneurysm
- Urosepsis
ASJC Scopus subject areas
- Urology