Emphysematous pyelonephritis (EPN) is a rare life threatening condition. It usually happens in diabetic patients. Its mortality is as high as 75% and urgent nephrectomy has been highly recommended.(1) However, recent advancements in imaging techniques and new stronger antibiotics can make medical treatment an acceptable alternative for radical surgery. We report a diabetic patient with EPN, who...

Received April 2007 Accepted August 2007 INTRODUCTION Emphysematous pyelonephritis is an uncommon and severe acute bacterial infection of the kidney. Diagnosis is usually made very late due to changing manifestations and infrequent occurrence. On the other hand, xanthogranulomatous pyelonephritis is a rare severe renal infection which typically results in diffused destruction of the kidney in a...

Background. Emphysematous osteomyelitis and emphysematous pyelonephritis are both rare entities responsible for a high death rate. The first is defined by the presence of intravertebral or intraosseous gas, while second infectious damage to renal parenchyma perilesional tissues caused gas-producing microorganisms is, therefore, characterized formation gas. Imaging plays crucial role in making r...

Aim: To evaluate our experience with emphysematous pyelonephritis in a tertiary care facility and to describe approach. Study design: Cross-sectional retrospective study Place duration of study: Dept Urology, Shaikh Zayed Hospital, Lahore from 1st January 2017 31st December 2020. Methodology: Thirty six patients who died out the 976 between 34-82 years were enrolled. Used classification systems...

We present a rare case of emphysematous cystitis associated with an emphysematous pyelonephritis in a diabetic Arab man who was admitted in a confusional state. A 60-year-old man was admitted to the emergency department with confusion and hypogastric mass. The Clinical examination found comatose patient with a mass in the tympanic hypogastric percussion. The pelvic computed tomography (CT) demo...

Emphysematous Pyelonephritis (EPN) is a severe, necrotizing, life threatening infection of the renal parenchyma and management is not standardised due to scarcity of literature. We present 3 patients with this rare entity. All 3 patients were of class III on CECT findings based on Huang's classification and had more than two risk factors. Our first patient underwent percutaneous drainage of his...

OBJECTIVE To highlight changing trend of clinical spectrum, comparing management options and predictors of outcome of emphysematous pyelonephritis. MATERIAL AND METHODS This study included patients who were diagnosed as emphysematous pyelonephritis between August, 2001 to July, 2015. We excluded other possible causes of gas in renal system. Baseline patient characteristics, clinical spectrum,...

Abstract Background Emphysematous pyelonephritis (EPN) is one of the most serious urologic emergency which should be diagnosed and treated adequately to prevent impending septic shock death. Computed tomography (CT) gold standard radiologic modality for diagnosis, grading predicting outcome. We aimed in this study define initial CT radiological findings correlated with EPN conservative manageme...