Hariri Albara, Aljarbou Abdulhkam, Albalawi Khalid, Alqasem Saad, Alowidah Ibrahim, Raheem Ali Abdel
Urology Department, King Saud Medical City, Riyadh, Saudi Arabia.
College of Medicine, University of Tabuk, Tabuk, Saudi Arabia.
Urol Case Rep. 2021 Apr 27;38:101685. doi: 10.1016/j.eucr.2021.101685. eCollection 2021 Sep.
Emphysematous pyelonephritis (EPN) is a rare life-threatening gas producing kidney infection, commonly affects uncontrolled diabetic patients with underlying urinary tract obstruction. Presence of pneumoperitoneum and involvement of the bowels are uncommon presentation of EPN. In the present report, we present a 59-year-old African male who had extensive EPN with pneumoperitoneum, pneumatosis intestinalis and extension to the bowel causing ischemia. Successful surgical exploration was done, with resection anastomosis of the ischemic bowel segment and drainage of the kidney.
气肿性肾盂肾炎（EPN）是一种罕见的、危及生命的产气性肾脏感染，通常影响患有潜在尿路梗阻的未控制糖尿病患者。气腹和肠道受累是EPN不常见的表现。在本报告中，我们介绍了一名59岁的非洲男性，他患有广泛的EPN，伴有气腹、肠壁积气，并蔓延至肠道导致缺血。成功进行了手术探查，切除并吻合了缺血肠段，并对肾脏进行了引流。
