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Med Princ Pract 2007;16:155–157
(DOI:10.1159/000098371)

Bilateral Emphysematous Pyelonephritis and Emphysematous Cystitis with Autosomal-Dominant Polycystic Kidney Disease: Is Conservative Management Justified?

Arun N. · Hussain A. · Kapoor M.M. · Abul F.
Departments of Surgery (Urology Unit) and Nephrology, Al-Amiri Hospital, Kuwait
email Corresponding Author


 goto top of outline Key Words

  • Emphysematous pyelonephritis
  • Emphysematous cystitis
  • Autosomal-dominant polycystic kidney disease
  • Conservative management

 goto top of outline Abstract

Objective: To report a case of bilateral emphysematous pyelonephritis (EPN) and emphysematous cystitis in a 64-year-old diabetic male with autosomal-dominant polycystic kidney disease (ADPKD). Case Presentation and Intervention: A 64-year-old diabetic male presented with worsening of renal function and fluid overload. Diagnosis was confirmed by computerized tomography (CT scan) and conservative management with broad-spectrum antibiotics was instituted. There was good clinical response and repeated CT scan showed complete resolution. Conclusion: This case shows that conservative management is an acceptable alternative to surgery in EPN occurring with ADPKD. However, it is recommended that patients should be closely monitored, both clinically and radiologically, and percutaneous catheter drainage or surgical intervention carried out whenever deemed necessary.

Copyright © 2007 S. Karger AG, Basel


 goto top of outline References
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 goto top of outline Author Contacts

Dr. Narayanaswamy Arun
Urology Unit, Ward 4, Al-Amiri Hospital
PO Box 4077
13041 Safat (Kuwait)
Tel. +965 6299 701, Fax +965 2424 135, E-Mail nandarun@hotmail.com


 goto top of outline Article Information

Received: November 13, 2005
Revised: May 25, 2006
Number of Print Pages : 3
Number of Figures : 2, Number of Tables : 0, Number of References : 10


 goto top of outline Publication Details

Medical Principles and Practice (International Journal of the Kuwait University Health Sciences Centre)

Vol. 16, No. 2, Year 2007 (Cover Date: February 2007)

Journal Editor: Owunwanne, A. (Kuwait)
ISSN: 1011–7571 (print), 1423–0151 (Online)

For additional information: http://www.karger.com/MPP


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