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Appearance of Pyelitis Emphysematosa on Computed Tomography
Todd S Yecies1, Brian T Kadow1, Stephen V Jackman1
1Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA.
Urology
|December 21, 2016
Summary
Pyelitis emphysematosa, a rare gas-forming infection, is detailed in this case study. This presentation highlights a unique instance in an elderly female, emphasizing its rarity and diagnostic considerations.
Area of Science:
- Urology
- Infectious Diseases
- Radiology
Background:
- Pyelitis emphysematosa is a rare gas-forming infection within the renal collecting system.
- Limited case reports exist, with none in the modern cross-sectional imaging era.
- This condition involves gas within the renal pelvis and collecting system walls.
Purpose of the Study:
- To report a rare case of pyelitis emphysematosa.
- To discuss diagnostic challenges and imaging findings in the context of modern radiology.
- To highlight the clinical presentation in an elderly patient with specific renal anomalies.
Main Methods:
- Case report presentation.
- Review of relevant medical literature.
- Analysis of imaging findings (implied, as it's a case study).
Main Results:
- A case of pyelitis emphysematosa is described in an elderly female.
- The patient presented with congenital left renal atrophy and chronic right hydronephrosis.
- The condition was identified in the context of ureteropelvic junction obstruction.
Conclusions:
- Pyelitis emphysematosa is exceptionally rare, with few documented cases.
- Cross-sectional imaging plays a crucial role in diagnosing such conditions.
- This case underscores the importance of considering rare infections in patients with complex renal anatomies and obstructions.
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