Classification of emphysematous kidney lesions. Epidemiology. Guided percutaneous drainage techniques ; Tips and Tricks Efficacy of guided percutaneous drainage.
Emphysematous kidney lesions; include emphysematous pylitis,
emphysematous pylonephrosis (EPN) and perinephric abscess are relatively rare condition.
It results from sever parenchymatous kidney infection by anaerobic gas forming bacteria usually ascending infection.
E-coli is isolated on urine or pus cultures in nearly 70% of the reported cases. EPN tends to be common in middle and old age patients ( usually > 50 year-old ) with uncontrolled diabetic (Up to 95% of the EPN cases ) and more...
Findings and procedure details
Guided percutaneous abscess drainage technique (PAD): Under complete aseptic condition and local anesthesia.
We highlight the technique of the operation with different modalities according to the gas amount it usually a compination of two modalities either: US CT Fluoroscopy Tips and tricks: Patient in prone position. While introducing the guiding needle use the shortest pathway and the easiest angulation or localization. In case of nephrostomy placement,
a lower pole posterior calix accessed...
Emphysematous kidney lesions are relatively rare yet serious condition more common within females with uncontrolled DM.
the standard management was nephrectomy yet A combination of percutaneous drainage with antibiotics offers an effective therapy for most cases with decrease risk of surgery and mortality.
assistant lecturer at intervention and diagnostic radiology department ,
Ain shams university ,
Emphysematous Pyelonephritis:Clinicoradiological Classification,
and Pathogenesis. Arch Intern Med. 2000;160(6):797–805.
Deriving a management algorithm for emphysematous pyelonephritis: Can we rely on minimally invasive strategies or should we be opting for earlier nephrectomy? International Urology Nephrology (2017) 49: 2127. https://doi.org/10.1007/s11255-017-1706-8 . Sugandh...