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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Management of Emphysematous Pyelonephritis with Conservative and Minimal Invasive Drainage: A Case Series

Anik Ghosh, Shashi Kant Tewary, Sudipta Kumar Singh, Kunjan Kumar, Md. Arif Islam and Ranjan Kumar Dey
Page: 651-656 | Received 04 Aug 2023, Published online: 06 Aug 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.651.656

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Abstract

Emphysematous Pyelonephritis (EPN) is a type of urologic emergency by an acute necrotizing infection with gas in the kidney, perirenal area, or urine collecting system. To compare the management of EPN by (A) IV Antibiotics only, (B) Image guided minimal invasive drainage and IV Antibiotics, (C) Open Drainage and D] Emergency Nephrectomy if any. This is a retrospective observational study, from July 2019 to March 2022 with 24 patients of EPN admitted in IPD at our institution. Patients classified according to CT Severity Scale (class1, 2 3A, 3B, 4). Only 12.5% patient had been cured by only medical treatment (one of class1 and other 2 of class 2), 6 (who had stone disease with HDN) out of 24 patients were treated successfully with D J Stenting and antibiotics and another 3 patients required both D J Stenting and pigtail drainage. About 50% patients were treated with Percutaneous Nephrostomy (PCN) and IV antibiotics. 3 patients among these twelve required pigtail drainage with PCN. 3 patients required open drainage. There was no mortality. Following a quick CT scan, it is critical to commence adequate care. Prompt Anti: Microbial therapy with minimal- invasive drainage by Pigtail, PCN or D J Stenting not only avoids morbidity but also saves the kidney.

How to cite this article:

Anik Ghosh, Shashi Kant Tewary, Sudipta Kumar Singh, Kunjan Kumar, Md. Arif Islam and Ranjan Kumar Dey. Management of Emphysematous Pyelonephritis with Conservative and Minimal Invasive Drainage: A Case Series.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.651.656
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.651.656