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Updated: Nov 5, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
A rare case of emphysematous pyelonephritis associated with pneumatosis intestinalis and bowel ischemia
Albara Hariri1, Abdulhkam Aljarbou1, Khalid Albalawi2
1Urology Department, King Saud Medical City, Riyadh, Saudi Arabia.
Abstract:
Emphysematous pyelonephritis (EPN) is a rare life-threatening gas producing kidney infection, commonly affects uncontrolled diabetic patients with underlying urinary tract obstruction. Presence of pneumoperitoneum and involvement of the bowels are uncommon presentation of EPN. In the present report, we present a 59-year-old African male who had extensive EPN with pneumoperitoneum, pneumatosis intestinalis and extension to the bowel causing ischemia. Successful surgical exploration was done, with resection anastomosis of the ischemic bowel segment and drainage of the kidney.
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