Emphysematous pyelonephritis

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Failure to thrive, chronic abdominal apin.

Patient Data

Age: 5 years
Gender: Male

Right kidney is enlarged in size showing severe hydronephrosis with air in the collecting system.

There is small stone in the uretero pelvic junction measuring 0.5 cm.

Tiny calcifications are seen in the right kidney.

No CT nephrogram and pyelogram were achieved in the right side.

There is also a focal hyper-density in the right distal ureteral expected location (? Right distal ureteral stone). It measures about 1.3 cm in length.

Case Discussion

The features are suggesting right emphysematous pyelonephritis with nonfunctional right kidney.

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