Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritis
Emphysematous pyelonephritis is a necrotizing infection of the renal parenchyma by gas-forming organisms, with a risk of the gas extending into peri-nephric or para-renal spaces and in advanced cases, the involvement may be extensive and bilateral. It is a common complication in patients with long-t...
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Elsevier
2025-03-01
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013256 |
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author | Oumaima Mesbah, MD Badr Kabila, MD Basma Beqqali, MD Omar El Aoufir, PhD Laila Jroundi, PhD |
author_facet | Oumaima Mesbah, MD Badr Kabila, MD Basma Beqqali, MD Omar El Aoufir, PhD Laila Jroundi, PhD |
author_sort | Oumaima Mesbah, MD |
collection | DOAJ |
description | Emphysematous pyelonephritis is a necrotizing infection of the renal parenchyma by gas-forming organisms, with a risk of the gas extending into peri-nephric or para-renal spaces and in advanced cases, the involvement may be extensive and bilateral. It is a common complication in patients with long-term diabetes, primarily caused by Gram-negative organisms or, in some cases, anaerobes. The diagnosis of emphysematous pyelonephritis is made by clinical features and confirmed by computed tomography. Treatment is decided based on the computed tomography classification, with minimally invasive conservative techniques and antibiotic treatment before considering nephrectomy. We present a case of a 30-year-old women with an emphysematous pyelonephritis associated with pneumoperitonuem. |
format | Article |
id | doaj-art-b35ab0227ff84436b129ff8c670d3aef |
institution | Kabale University |
issn | 1930-0433 |
language | English |
publishDate | 2025-03-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
spelling | doaj-art-b35ab0227ff84436b129ff8c670d3aef2025-01-18T05:03:56ZengElsevierRadiology Case Reports1930-04332025-03-0120314961498Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritisOumaima Mesbah, MD0Badr Kabila, MD1Basma Beqqali, MD2Omar El Aoufir, PhD3Laila Jroundi, PhD4Corresponding author.; Emergency Radiology Department, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, MoroccoEmphysematous pyelonephritis is a necrotizing infection of the renal parenchyma by gas-forming organisms, with a risk of the gas extending into peri-nephric or para-renal spaces and in advanced cases, the involvement may be extensive and bilateral. It is a common complication in patients with long-term diabetes, primarily caused by Gram-negative organisms or, in some cases, anaerobes. The diagnosis of emphysematous pyelonephritis is made by clinical features and confirmed by computed tomography. Treatment is decided based on the computed tomography classification, with minimally invasive conservative techniques and antibiotic treatment before considering nephrectomy. We present a case of a 30-year-old women with an emphysematous pyelonephritis associated with pneumoperitonuem.http://www.sciencedirect.com/science/article/pii/S1930043324013256Emphysematous pyelonephritisPneumoperitoneumComputed tomographyNephrectomy |
spellingShingle | Oumaima Mesbah, MD Badr Kabila, MD Basma Beqqali, MD Omar El Aoufir, PhD Laila Jroundi, PhD Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritis Radiology Case Reports Emphysematous pyelonephritis Pneumoperitoneum Computed tomography Nephrectomy |
title | Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritis |
title_full | Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritis |
title_fullStr | Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritis |
title_full_unstemmed | Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritis |
title_short | Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritis |
title_sort | unraveling the uncommon pneumoperitoneum induced by emphysematous pyelonephritis |
topic | Emphysematous pyelonephritis Pneumoperitoneum Computed tomography Nephrectomy |
url | http://www.sciencedirect.com/science/article/pii/S1930043324013256 |
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