Related Experiment Video
Updated: Aug 22, 2025
03:42
Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
Published on: March 15, 2024
639
Contralateral necrotizing fascitis after left nephrectomy for emphysematous pyelonephritis
Alberto Fuentes1, Pablo A Rojas1, Felipe Del Valle2
1Servicio de Urología Complejo Asistencial Hospital Sotero de Rio Santiago Chile.
IJU Case Reports
|November 7, 2022
Summary
Emphysematous pyelonephritis, a severe kidney infection, can lead to serious complications. This case highlights the risk of necrotizing fasciitis after nephrectomy for this condition.
Area of Science:
- Nephrology
- Infectious Diseases
- Surgical Complications
Background:
- Emphysematous pyelonephritis is a necrotizing renal infection.
- Management varies, with nephrectomy for severe cases.
- Post-nephrectomy complications are common, including sepsis and necrotizing fasciitis.
Observation:
- A 37-year-old obese woman with a history of emphysematous pyelonephritis presented with a recurrent episode.
- She underwent a left total nephrectomy.
- Two weeks post-surgery, she developed contralateral necrotizing fasciitis of the abdominal wall.
Findings:
- The patient required multiple surgical debridements and vacuum-assisted closure for the necrotizing fasciitis.
- This case underscores the potential for severe, delayed complications following nephrectomy for emphysematous pyelonephritis.
Implications:
- Emphysematous pyelonephritis demands high clinical suspicion in at-risk individuals.
- Aggressive management and vigilant monitoring for post-nephrectomy complications are crucial.
- Further research into risk factors and preventative strategies for post-nephrectomy complications is warranted.
More Related Videos
Related Concept Videos
01:27Acute Pyelonephritis I: Introduction
34
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
34
01:26Kidney Transplant II: Surgical Procedure
53
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
53
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
30
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
30
01:29Acute Kidney Injury II: Pathophysiology
53
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
53
01:16Kidney Transplant III: Nursing Management
61
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
61