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CASE REPORT
Year : 2014  |  Volume : 41  |  Issue : 1  |  Page : 54-56

Extensive emphysematous pyelonephritis in association with hepatic portal venous gas and emphysematous gastritis: A rare case


1 Department of Urology, KLE University's JN Medical College Belgaum, Karnataka, India
2 Department of Nephrology, KLE University's JN Medical College Belgaum, Karnataka, India
3 PG Department of Studies in Biotechnology & Microbiology, Karnatak University, Dharwad, Karnataka, India

Correspondence Address:
Vikram Prabha
Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum - 590 010, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-5009.126758

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Although emphysematous pyelonephritis is recognized from more than hundred years, the etiology is still controversial. Glucose fermentation is the proposed possible mechanism for gas fermentation. The extension of emphysematous pyelonephritis into portal vein and stomach is a rare condition. We present a 52-year-old woman with uncontrolled diabetes who was admitted with sepsis and left flank pain. She was investigated, and results revealed gas in the left renal system with extension into portal vein and stomach. She was resuscitated and managed with percutaneous drainage, DJ stenting, and broad spectrum antibiotics, she did not improve and hence nephrectomy was done. Prompt diagnosis, early and aggressive treatment is crucial because of high mortality.


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