Department of Urology and Kidney Transplant, Pakistan Kidney and Liver Institute, Lahore, Pakistan.
Khyber Medical College, Peshawar, Pakistan.
J Ayub Med Coll Abbottabad. 2021 Jan-Mar;33(1):162-164.
Emphysematous pyelonephritis (EPN) is a type of critical renal infection having dire consequences at times. It is said to be result of gases produced inside renal parenchymal tissue or pelvicalyceal system. Rarely coexistence of emphysematous pyelonephritis and emphysematous cystitis (EC) may lead to an intimidating condition in case it is not dealt with swiftly. The resent case report narrates the management of a 45-year-old female patient who suffered from EPN with concomitant EC. Right-sided emergency percutaneous nephrostomy was passed. Afterwards, Double J stent was passed under general anaesthesia. Although she had an initial improvement clinically but later on due to recurrent urinary tract infections and non-resolving right kidney abscess and fever right sided nephrectomy was done. This is a very rare presentation and has not previously reported much in literature.
气肿性肾盂肾炎（EPN）是一种严重的肾脏感染类型，有时后果严重。它被认为是由肾实质组织或肾盂系统内产生的气体引起的。罕见的气肿性肾盂肾炎和气肿性膀胱炎（EC）共存可能会导致一种令人生畏的情况，如果不迅速处理。本病例报告讲述了一位 45 岁女性患者的治疗情况，该患者患有 EPN 合并 EC。进行了右侧紧急经皮肾造口术。随后，在全身麻醉下通过双 J 支架。尽管她最初在临床上有所改善，但后来由于反复尿路感染和未解决的右肾脓肿和发热，右侧肾切除术。这是一种非常罕见的表现，在文献中报道较少。
