Emphysematous pyelonephritis with air bubble in the inferior vena cava

Autor: Tiffany A. Perkins, Alberic Rogman, Murali K. Ankem
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: African Journal of Urology, Vol 26, Iss 1, Pp 1-3 (2020)
Druh dokumentu: article
ISSN: 1110-5704
1961-9987
DOI: 10.1186/s12301-020-00081-2
Popis: Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.
Databáze: Directory of Open Access Journals