EMPHYSEMATOUS PYELONEPHRITIS ACCOMPANIED BY DIABETES MELLITUS
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概要
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A 67-year-old man was hospitalized urgently complaining of chills, fever and pain in the left abdomen, accompanied by hyperglycemia on July 30, 1990. He was diagnosed as having emphysematous pyelonephritis because a CT scan revealed gas formation in the left kidney. He was put under observation in an attempt to save the kidney, but his fever did not subside, so we performed a simple left nephrectomy on August 6. He made satisfactory progress after the operation, and was discharged in 32 days. The sample extraction showed that parts of the abscess wall were so thin that it could easily have perforated.<BR>Because emphysematous pyelonephritis is an inflammatory disease that can be intractable, as it was in this case, it is important to perform a nephrectomy in time, before the abscess wall ruptures.
- 北関東医学会の論文
北関東医学会 | 論文
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