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Severe emphysematous pyelonephritis managed with staged percutaneous drainage - A Changing paradigm
Shravankrishna Ananthapadmanabhan1, Zoe Williams1, Ramesh Shanmugasundaram1
1Nepean Hospital Urology Group, Nepean Hospital, Kingswood, New South Wales, 2747, Australia.
Urology Case Reports
|April 16, 2025
Summary
Emphysematous pyelonephritis (EPN), a severe kidney infection, can be successfully treated with staged percutaneous drainage. This minimally invasive approach offers a viable alternative to surgery for complex cases, even in diabetic patients.
Area of Science:
- Nephrology
- Infectious Diseases
- Minimally Invasive Surgery
Background:
- Emphysematous pyelonephritis (EPN) is a severe necrotizing renal infection characterized by gas formation within the kidney parenchyma and perinephric tissues.
- Historically, treatment involved open surgical drainage or nephrectomy, associated with significant morbidity.
- Percutaneous drainage has emerged as a less invasive alternative, but its efficacy in severe EPN remains debated.
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