Ananthapadmanabhan Shravankrishna, Williams Zoe, Shanmugasundaram Ramesh, Wang Henry, Mehan Nicholas
Nepean Hospital Urology Group, Nepean Hospital, Kingswood, New South Wales, 2747, Australia.
Urol Case Rep. 2025 Mar 31;60:103033. doi: 10.1016/j.eucr.2025.103033. eCollection 2025 May.
Emphysematous pyelonephritis (EPN) is a potentially life-threatening infection of the renal parenchyma and perinephric tissues by gas-forming organisms. Historically, open surgical drainage or nephrectomy was the standard of care, however, in recent years percutaneous drainage as a minimally invasive approach has become popular. However, whether percutaneous drainage can be successful in more severe cases of EPN is less clear. We report a case of severe Class IIIb EPN managed successfully with multiple staged percutaneous drainage procedures guided by interval re-assessment of clinical, biochemical, and radiological progress in a 52-year-old male with poorly controlled Type 2 Diabetes.
气肿性肾盂肾炎（EPN）是一种由产气微生物引起的、可危及生命的肾实质和肾周组织感染。从历史上看，开放手术引流或肾切除术是标准治疗方法，然而近年来，经皮引流作为一种微创方法已变得流行起来。然而，在更严重的EPN病例中经皮引流是否能够成功尚不太明确。我们报告了一例严重的Ⅲb级EPN病例，该病例在一名2型糖尿病控制不佳的52岁男性患者中，通过根据临床、生化和影像学进展的定期重新评估进行多阶段经皮引流手术成功治疗。
