Abstract
Emphysematous pyelonephritis is a severe life-threatening infection which continues to carry significant morbidity and mortality. We present a case recently managed at our institution by laparoscopic nephrectomy. The patient survived, and in comparison to some of the more conventionally managed patients in the literature, made an extremely speedy recovery. We would advocate this option to be seriously considered when patients are suitable and appropriately trained surgeons are available.
Get full access to this article
View all access options for this article.
References
1.
Dutta
P
Bhansali
A
Singh
SK
, Presentation and outcome of emphysematous renal tract disease in patients with diabetes mellitus . Urol Int
2007 ; 78 (1 ): 13 –22 .
2.
Falagas
ME
Alexiou
VG
Giannopoulou
KP
Siempos
II
. Risk factors for mortality in patients with emphysematous pyelonephritis: a meta-analysis . J Urol
2007 Sep; 178 ,(3 Pt 1 ): 880 –5 ; quiz 1129. Epub 2007 Jul 16.
3.
Jeng-Jong
Huang
Chin-Chung
Tseng
. Emphysematous pyelonephritis. Clinicoradiological classification, management, prognosis, and pathogenesis . Arch Intern Med
2000 ; 160 : 797 –805 .
4.
Abdul-Halim
H
Kehinde
EO
Abdeen
S
Lashin
I
Al-Hunayan
AA
Al-Awadi
KA
. Severe emphysematous pyelonephritis in diabetic patients: diagnosis and aspects of surgical management . Urol Int
2005 ; 75 (2 ): 123 –8 .
5.
Bauman
N
Sabbagh
R
Hanmiah
R
Kapoor
A.
Laparoscopic nephrectomy for emphysematous pyelonephritis . Can J Urol
2005 ; 12 (4 ): 2764 –8 . Aug.
