Emphysematous Pyelonephritis
A female aged 46 years who is a known diabetic on medication Chief Complaints Pain Left flank (severe) Req iv analgesic daily (x 15 days) Painful micturition (x 7 days) 2 episodes of hematuria Physical Examination Left renal angle tenderness (+) Investigations CT abdomen
It’s just EPN, no polycystic kidney. Placing a DJ stent and a PCN is the treatment. If patient condition does not improve then only nephrectomy os required
Yes lt kidney is polycystic and emphysematous and as said pyelonephritis Rx saciricing lt kidney ie nephrectomy Alternative conservative To keep drain tube in Lt kidney which will unlikely removable or keep DJ stent to change periodically Rest antibiotics as per c&s
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