Emphysematous pyelonephritis with complete duplication of the left urinary tract

Authors

  • Yasuto Yamasaki Department of Urology, Sasebo Central Hospital, Nagasaki, Japan; Department of Urology, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan
  • Shigehiko Koga Department of Urology, Kuroki Hospital, Nagasaki, Japan
  • Yuzo Minami Department of Urology, Sasebo Central Hospital, Nagasaki, Japan
  • Hideki Sakai Department of Nephro-Urology, Nagasaki University School of Biomedical Sciences, Nagasaki, Japan

DOI:

https://doi.org/10.5489/cuaj.740

Abstract

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.

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Author Biographies

Yasuto Yamasaki, Department of Urology, Sasebo Central Hospital, Nagasaki, Japan; Department of Urology, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan

Shigehiko Koga, Department of Urology, Kuroki Hospital, Nagasaki, Japan

Yuzo Minami, Department of Urology, Sasebo Central Hospital, Nagasaki, Japan

Hideki Sakai, Department of Nephro-Urology, Nagasaki University School of Biomedical Sciences, Nagasaki, Japan

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How to Cite

Yamasaki, Y., Koga, S., Minami, Y., & Sakai, H. (2013). Emphysematous pyelonephritis with complete duplication of the left urinary tract. Canadian Urological Association Journal, 5(6), E101-E103. https://doi.org/10.5489/cuaj.740

Issue

Vol. 5 No. 6 (2011): December

Section

Case Report

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