Yamasaki Yasuto, Koga Shigehiko, Minami Yuzo, Sakai Hideki
Department of Urology, Sasebo Central Hospital, Nagasaki, Japan; Department of Urology, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan;
Can Urol Assoc J. 2011 Dec;5(6):E101-3. doi: 10.5489/cuaj.10133.
Emphysematous pyelonephritis (EPN) is a life-threatening bacterial infection and should be treated rapidly and carefully. We report a case of EPN with complete duplication of the left urinary tract. A 68-year-old woman was admitted to our hospital complaining of high-grade fever and left flank pain. An abdominal computed tomography scan showed gas was presented in the renal parenchyma, not only the pelvis and ureter. Based on these findings, a diagnosis of left EPN was made. A partial nephrectomy of the affected left upper pole moiety was performed and the patient underwent additional medical management. Other 83 cases of EPN from the Japanese literature were reviewed.
气肿性肾盂肾炎（EPN）是一种危及生命的细菌感染，应迅速且谨慎地进行治疗。我们报告一例左尿路完全重复畸形合并气肿性肾盂肾炎的病例。一名68岁女性因高热和左侧腰痛入院。腹部计算机断层扫描显示肾实质内有气体，而非仅肾盂和输尿管内有气体。基于这些发现，诊断为左侧气肿性肾盂肾炎。对患侧左肾上极部分进行了部分肾切除术，患者还接受了其他药物治疗。我们回顾了日本文献中另外83例气肿性肾盂肾炎病例。
