A female patient, 53 years old, seen by us for the first time on February 22, 2010, with severe febrile illness, chills. In his personal story highlights a history of nosocomial pneumonia, hipertersion grade I.
I installed uretero-renal catheter left renal abscess. The patient presents with anemia and hypokalemia.
Initial sonographic examination to appreciate the presence of total de-structuring of the left renal silhouette, unable to appreciate the cortico-medullary border and the presence of an area-echogenic, poorly defined. The drainage catheter is displayed for exploration in appropriate location.
Three days later repeated the test, after removing the catheter, to appreciate even the presence of lumpy material that virtually replaces the normal kidney tissue (see last image). The diagnosis is emphysematous pyelonephritis with abundant presence of gas within the left renal tissue.
Emphysematous Pyelonephritis II
Sonografias 22 Febrero 2010
Sonography February 22, 2010
Se acaba de retirar el cateter.paciente sin fiebre 25 02 2010
Just withdraw catheter pacient without fever 25 02 2010