Emphysematous pyelonephritis: A rare cause of sepsis in hepatocellular carcinoma

Autor: Hany Haqimi Wan Hanafi, Nazri Mustaffa, Yeong Yeh Lee, Siti Nurbaya Mohd Nawi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Proceedings of Singapore Healthcare, Vol 30 (2021)
Druh dokumentu: article
ISSN: 2010-1058
2059-2329
20101058
DOI: 10.1177/2010105821992805
Popis: The association between emphysematous pyelonephritis (EPN) and diabetes mellitus is well known. EPN as the cause of sepsis in hepatocellular carcinoma (HCC) is rare and unreported. We report a case of EPN in a non-diabetic HCC patient, in which the clinical features of decompensated chronic liver disease masked the more sinister urological emergency to a certain degree. A computed tomography scan of the abdomen revealed a mixture of gas and fluid in the left retrorenal space, in keeping with left EPN. Nevertheless, the course of clinical deterioration was rather rapid that any surgical intervention was not feasible.
Databáze: Directory of Open Access Journals