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Scholars Journal of Medical Case Reports | Volume-9 | Issue-12
Management of a Rare Emphysematous Pyelonephritis Complicated by a Large Retroperitoneal Collection
DR Yassine Larrache, DR Adil Kbirou, DR Safwate Reda, PR Amine Moataz, PR Dakir Mohammed, PR Adil Debbagh, PR Rachid Aboutaieb
Published: Dec. 12, 2021 | 224 150
DOI: 10.36347/sjmcr.2021.v09i12.012
Pages: 1163-1165
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Abstract
Emphysematous pyelonephritis is a diagnostic and therapeutic emergency, the management depends on the radiological classification of Hyaung and Tseng, the patient's condition and the presence of risk factors namely: thrombocytopenia, acute renal failure, shock and disturbances of consciousness.Conservative treatment based on antibiotic therapy, percutane drainage is most often indicated, and nephrectomy is reserved for severe forms. We report a case of rare emphysematous pyelonephritis complicated by a large retroperitoneal collection. The treatment was an antibiotherapy associated with percutaneous drainage and the evolution was favorable.