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Double J stenting: A rewarding option in the management of emphysematous pyelonephritis
Debiprasad Das1, Dilip Kumar Pal1
1Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
Context:
Emphysematous pyelonephritis (EPN) is an acute necrotizing inflammation of renal parenchyma and peri-nephric tissue characterized by gas formation. In this study, we evaluated the outcome of EPN cases by medical management with or without renal decompression.
Materials And Methods:
We have observed prospectively 15 cases of EPN admitted in our institute in respect to age, sex, mode of presentation, presence of comorbidity, laboratory profile, urine-analysis, and outcome after medical management and drainage procedures.
Results:
All patients improved on medical management and drainage procedure such as JJ stenting and percutaneous nephrostomy. No mortality noted in our 15 cases of EPN.
Conclusion:
Emphysematous pyelonephritis can be managed conservatively by DJ stenting, wcich is a less morbid procedure or percutaneous nephrostomy with proper antibiotics and adequate glycemic control.
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