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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Main Authors: Oumaima Mesbah, MD, Badr Kabila, MD, Basma Beqqali, MD, Omar El Aoufir, PhD, Laila Jroundi, PhD
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Radiology Case Reports
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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.
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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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