A case of emphasematous pyelonephritis in a solitary kidney.
- Author:
Yeoul Chung SUNG
1
;
Yong Hyun PARK
;
Ju Hun LEE
;
Hong Yong CHOI
;
Kwang Soo LEE
Author Information
1. Department of Urology, Seoul Red Cross Hospital Seoul Korea.
- Publication Type:Case Report
- Keywords:
Emphysematous pyelonephritis;
Solitary kidney
- MeSH:
Diabetes Mellitus;
Female;
Humans;
Insulin;
Kidney*;
Nephrostomy, Percutaneous;
Pyelonephritis*;
Urinary Tract;
Young Adult
- From:Korean Journal of Urology
1992;33(1):165-168
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.