Emphysematous pyelonephritis with complete duplication of the left urinary tract |
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| Authors: | Yasuto Yamasaki Shigehiko Koga Yuzo Minami Hideki Sakai |
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| Affiliation: | *Department of Urology, Sasebo Central Hospital, Nagasaki, Japan;;†Department of Urology, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan;;§Department of Urology, Kuroki Hospital, Nagasaki, Japan;;‡Department of Nephro-Urology, Nagasaki University School of Biomedical Sciences, Nagasaki, Japan |
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| 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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