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[Pneumoperitoneum: infrequent complication of lithiasic pyonephrosis]
G Rodríguez Reina1, J Carballido, C Olivier
1Servicio de Urología, Hospital Clínica Puerta de Hierro, Madrid, España.
Actas Urologicas Espanolas
|November 1, 1990
Summary
This case report details intrarenal gas formation in a patient with kidney stones and infection. Prompt surgical intervention and antibiotics successfully resolved this rare complication.
Area of Science:
- Urology
- Nephrology
- Infectious Diseases
Background:
- Pyonephrosis, a severe kidney infection with pus accumulation, is often associated with obstructing stones (lithiasis).
- Intrapelvic gas formation is an extremely rare complication of pyonephrosis, suggesting significant bacterial activity.
Observation:
- The patient presented with acute peritonitis and pneumoperitoneum, mimicking surgical emergencies.
- Radiological imaging confirmed the presence of gas within the renal pelvis.
Findings:
- Urinary culture identified Escherichia coli as the causative agent.
- Surgical management involved nephrectomy and retroperitoneal drainage, alongside empirical antibiotic therapy.
- The intrarenal gas formation was an uncommon complication of lithiasic pyonephrosis.
Implications:
- This case highlights the importance of considering rare complications in diagnosing severe urinary tract infections.
- Prompt surgical intervention is crucial for managing complicated pyonephrosis with gas formation.
- Understanding this rare entity aids in clinical decision-making and patient management.