Emphysematous pyelonephritis: a consequence of adenocarcinoma of urinary bladder in a nondiabetic patient.
J Postgrad Med
;
2005 Oct-Dec; 51(4): 324-5
Artículo
en Inglés
| IMSEAR
| ID: sea-115952
ABSTRACT
Emphysematous pyelonephritis (EP) is a life threatening condition of acute necrotising renal parenchymal infection that encompasses a much wider spectrum of complicated urinary tract infections such as renal abscesses, emphysematous pyelitis, pyelonephritis, acute renal papillary necrosis, and sepsis. We report an unusual case of adenocarcinoma bladder in a middle aged nondiabetic patient, presenting with EP. Emphysematous pyelonephritis was the initial symptom in this case with an underlying carcinoma of the bladder. The role of imaging is prime in management of such cases, if an early diagnosis is to be made and a potentially devastating outcome is to be avoided. The literature regarding EP has been reviewed and discussed. The goals of managing EP should be (1) early institution of parenteral antibiotics and a (2) a staged nephrectomy (preceded by a temporary percutaneous drainage particularly with antibiotic resistant septicemia) so as to maximize survival rather than proceeding directly to emergency nephrectomy.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Pielonefritis
/
Neoplasias de la Vejiga Urinaria
/
Humanos
/
Masculino
/
Adenocarcinoma
/
Adulto
/
Enfisema
Tipo de estudio:
Estudio de tamizaje
Idioma:
Inglés
Revista:
J Postgrad Med
Año:
2005
Tipo del documento:
Artículo
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