Korean J Urol.
1992 Feb;33(1):165-168.
A case of emphasematous pyelonephritis in a solitary kidney
- Affiliations
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- 1Department of Urology, Seoul Red Cross Hospital Seoul Korea.
Abstract
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Emphysematous pyelonephritis is an uncommon serious suppurative infection characterized by the production of intrarenal and perirenal gas generally occurs in patient with diabetes mellitus or urinary tract obstruction. We report our experience with the successful management of a case emphysematous pyelonephritis which occurred in 22 year-old diabetic woman with UPJ obstruction in a solitary kidney. She was treated non-operatively with intensive anti-microbial therapy, insulin therapy and percutaneous nephrostomy as a initial life saving procedure. After improvement of renal function and general condition, we performed dismembered pyeloplasty for UPJ obstruction.