Asymptomatic emphysematous pyelitis-a rare clinical entity

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...

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Bibliographic Details
Published in:BMJ case reports 2021-01, Vol.14 (1), p.e235421
Main Authors: Thorman, Hannah, Bhatt, Nikita R, Kapoor, Sona, Hawizy, Azad
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Asymptomatic
Asymptomatic Diseases
Case Report
Case reports
Creatinine
Diabetes
Emphysema - diagnostic imaging
Female
Fever
Humans
Hydronephrosis
Infections
Medical imaging
Middle Aged
Mortality
Pain
Patients
Pyelitis - diagnostic imaging
Sepsis
Tomography, X-Ray Computed
Transplants & implants
Ultrasonic imaging
Urinary tract infections
Urogenital system
Urology
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Summary: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.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-235421