Different Imaging Modalities for Evaluating Emphysematous Pyelonephritis (EPN); a Life Threatening Urological Emergency – A case report

Authors

  • Rawnak Afrin Institute of Nuclear Medicine & Allied Sciences, Dhaka
  • ABM Golam Mostofa Institute of Nuclear Medicine & Allied Sciences, Dhaka
  • Shankar Kumar Biswas Institute of Nuclear Medicine & Allied Sciences, Dhaka
  • Sadia Hossain Institute of Nuclear Medicine & Allied Sciences, Dhaka
  • Sanowar Hossain Institute of Nuclear Medicine & Allied Sciences, Dhaka

DOI:

https://doi.org/10.3329/bjnm.v20i1.36864

Keywords:

Emphysematous pyelonephritis, Diabetes mellitus

Abstract

Emphysematous pyelonephritis (EPN) is a severe necrotizing infection of the renal parenchyma; it causes gas formation within the collecting system, renal parenchyma, and/or perirenal tissues. In this reported case, a female patient of 40 years was admitted in a tertiary hospital with history of severe left flank pain, lower abdominal pain, fever, vomiting and scanty micturition for three days. Ultrasonogram showed-normal right kidney but left renal bed reveals extensive air obscuring visualization of left kidney with probe tenderness in left flank. Contrast CT scan of KUB shows larger left kidney with extensive air (CT number = -1000 HU) within the renal parenchyma, collecting systems and perinephric space. This case was diagnosed as EPN. After conservative treatment patient was improved significantly.

Bangladesh J. Nuclear Med. 20(1): 63-66, January 2017

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Published

2018-06-07

How to Cite

Afrin, R., Mostofa, A. G., Biswas, S. K., Hossain, S., & Hossain, S. (2018). Different Imaging Modalities for Evaluating Emphysematous Pyelonephritis (EPN); a Life Threatening Urological Emergency – A case report. Bangladesh Journal of Nuclear Medicine, 20(1), 63–66. https://doi.org/10.3329/bjnm.v20i1.36864

Issue

Section

Case Reports