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Scripta Scientifica Medica

Emphysematous pyelonephritis - clinicorentgenologic diagnosis, requiring urgent surgical treatment. Case report

Sv. Dyakov, Alexandar Hinev, M. Siderova, Hripsime Bohchelian, Kiril Hristozov, V. Platikanov

Abstract

Emphysematous pyelonephritis is a rare and life-threatening suppurative infection of the renal parenchyma and the perirenal tissues, characterized by spontaneous gas production. Although uncommon, it occurs almost exclusively in diabetic patients (60-80% of the cases). We describe a recent case of a diabetic woman with emphysematous pyelonephritis, managed by unilateral nephrectomy. While the symptoms are usually general and nonspecific, the diagnostic approach is crucial in many cases. Ultrasonography should be the first diagnostic tool, as it is noninvasive, fast, and cost effective. However, CT scan is more specific and sensitive, and it should always be taken into consideration, as it enables the proper treatment decisions.

Scripta Scientifica Medica 2008; 40(2): 145-147.


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DOI: http://dx.doi.org/10.14748/ssm.v40i2.529

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About The Authors

Sv. Dyakov
Medical University of Varna
Bulgaria

Alexandar Hinev
Medical University of Varna
Bulgaria

M. Siderova
Medical University of Varna
Bulgaria

Hripsime Bohchelian
Medical University of Varna
Bulgaria

Kiril Hristozov
Medical University of Varna
Bulgaria

V. Platikanov
Medical University of Varna
Bulgaria

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