Asymptomatic emphysematous pyelitis-a rare clinical entity.
Autor: | Thorman H; Urology Department, Ipswich Hospital, Ipswich, UK h.thorman@yahoo.co.uk., Bhatt NR; Urology Department, Ipswich Hospital, Ipswich, UK., Kapoor S; Urology Department, Ipswich Hospital, Ipswich, UK., Hawizy A; Urology Department, Ipswich Hospital, Ipswich, UK. |
---|---|
Jazyk: | angličtina |
Zdroj: | BMJ case reports [BMJ Case Rep] 2021 Jan 18; Vol. 14 (1). Date of Electronic Publication: 2021 Jan 18. |
DOI: | 10.1136/bcr-2020-235421 |
Abstrakt: | A 62-year-old asymptomatic woman with diabetes was referred to the urology department from nephrology due to deterioration in renal function with accompanied right-sided hydronephrosis on ultrasound. CT imaging subsequently revealed a right-sided staghorn calculus and a significant volume of gas in the right collecting system from the kidney to the distal ureter, in keeping with emphysematous pyelitis. She was admitted and managed with antibiotics and insertion of right nephrostomy in the first instance, followed by percutaneous nephrolithotomy to definitively manage the stone. The patient remained asymptomatic throughout the process. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.) |
Databáze: | MEDLINE |
Externí odkaz: |