Percutaneous drainage in emphysematous pyelonephritis — an alternative to major surgery

1988 ◽  
Vol 39 (6) ◽  
pp. 622-624 ◽  
Author(s):  
J.R.W. Hall ◽  
R.G. Choa ◽  
I.P. Wells
Keyword(s):  
Percutaneous Drainage ◽  
Major Surgery ◽  
Emphysematous Pyelonephritis

Severe emphysematous pyelonephritis in a renal allograft: successful treatment with percutaneous drainage and antibiotics

2007 ◽  
Vol 68 (07) ◽  
pp. 42-46 ◽  
Author(s):  
Y.-W. Chuang ◽  
C.-H. Chen ◽  
C.-H. Cheng ◽  
S.-W. Hung ◽  
T.M. Yu ◽  
...  
Keyword(s):  
Successful Treatment ◽  
Percutaneous Drainage ◽  
Renal Allograft ◽  
Emphysematous Pyelonephritis

scholarly journals Emphysematous Pyelonephritis: Study of the Indication and the Timing of Percutaneous Drainage

2017 ◽  
Vol 42 (5) ◽  
pp. 763-767
Author(s):  
Taiji Nishimura ◽  
Teruhide Watanabe ◽  
Yasuyuki Morikawa ◽  
Chorsu Lee ◽  
Yoshio Ichinose ◽  
...  
Keyword(s):  
Percutaneous Drainage ◽  
Emphysematous Pyelonephritis

scholarly journals Gas in the Kidney (Emphysematous Pyelonephritis) often Misdiagnosed as Colonic Gas

2016 ◽  
Vol 33 (2) ◽  
pp. 91-94
Author(s):  
Mohammad Ali Zulkifl ◽  
Mir Rasekh Alam
Keyword(s):  
Prognostic Factor ◽  
Characteristic Feature ◽  
Diabetic Patient ◽  
Ct Scan ◽  
Medical Management ◽  
Percutaneous Drainage ◽  
Emphysematous Pyelonephritis ◽  
Life Threatening ◽  
Prompt Diagnosis

Emphysematous pyelonephritis (EPN) is a serious and often life threatening infection of the renal and perirenal tissues. The characteristic feature of this infection is the presence of gas within the kidney and perinephric tissues. EPN usually occurs in diabetic women. CT Scan is the investigation of choice not only to establish the diagnosis but also to plan the line of management. Renal preservation must be the aim of management. This can be achieved to a great extent by medical management combined with percutaneous drainage of obstructed kidney. However nephrectomy is indicated in life threatening infection of the kidney. Prompt diagnosis and the timing of drainage could be the prognostic factor. A case of EPN in a diabetic patient who was successfully managed by nephrectomy is presented.J Bangladesh Coll Phys Surg 2015; 33(2): 91-94

Is Percutaneous Drainage the New Gold Standard in the Management of Emphysematous Pyelonephritis? Evidence From a Systematic Review

2008 ◽  
Vol 179 (5) ◽  
pp. 1844-1849 ◽  
Author(s):  
Bhaskar K. Somani ◽  
Ghulam Nabi ◽  
Peter Thorpe ◽  
Jeff Hussey ◽  
Jonathan Cook ◽  
...  
Keyword(s):  
Systematic Review ◽  
Gold Standard ◽  
Percutaneous Drainage ◽  
Emphysematous Pyelonephritis

scholarly journals Emphysematous Pyelonephritis

2021 ◽  
Author(s):  
Mohammed Al-Saraf ◽  
Salim Al-Busaidy ◽  
Kurian George ◽  
Mohamed Elawdy ◽  
Issa Al-Salmi
Keyword(s):  
Retrospective Study ◽  
Percutaneous Drainage ◽  
Fluid Collection ◽  
Mortality Rates ◽  
Percutaneous Nephrostomy ◽  
Favourable Outcome ◽  
Class I ◽  
Emphysematous Pyelonephritis ◽  
Double J Stent ◽  
Pelvicalyceal System

Objectives: Emphysematous pyelonephritis (EPN) has high mortality rates reaching 50%, however later studies have reported significantly lower mortality rates ranging from 0 to 37.5%. Renal percutaneous drainage techniques have reduced the mortality and the necessity for surgery.  Nevertheless, the same studies have reported a wide diversity in the usage of percutaneous drainage (PCD) and percutaneous nephrostomy (PCN) techniques. Methods: A retrospective study of 17 patients was conducted over a 10year period, from January 2008 to December 2017. All patients had undergone abdominal computerized tomography, these were reviewed and categorized according to Huang and Tseng’s classification. Results: 13 patients (76%) were categorized as class I and II, 3 (17%) as class IIIA, and 1 (6%) as class IIIB. Five patients from the class I & II categories underwent drainage of the pelvicalyceal system, 4 by PCN and 1 by Double J Stent (DJS) insertion. All the class IIIA and IIIB patients had PCN inserted. One class IIIB patient required PCD for localized gas and fluid collection but later underwent emergency nephrectomy. There were no mortalities. Conclusion: The favourable outcome of this study is in keeping with the more recent studies. However, despite the present classifications and guidelines, wide variations are reported in the use of percutaneous drains with PCD ranging from 2.5 – 91%. The lack of precise guidelines may be a cause of these disparities in the clinical management.Keywords: emphysematous, pyelonephritis, drainage, percutaneous, nephrostomy.

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