Retrocaval ureter or circumcaval ureter is considered a rare congenital anomaly. We reported a case of 48-year-old woman who presented with right flank pain. In investigations, we found a retreocaval ureter that was treated surgically. In conclusion, retrocaval ureter is rare cause of flank pain and one of the challenging cases for urologists that needs careful investigations.
Introduction
Emphysematous pyelonephritis is a rare necrotizing infection of the kidney. It should be diagnosed early because it has a bad prognosis. Treatments range from intravenous antibiotics to nephrectomy in severe cases.
Presentation of case
A 67 years old female with uncontrolled diabetes mellitus presented with fever, right flank pain, and dysuria. Computed tomography for abdominal and pelvis showed gas inside the right kidney. After administration of intravenous antibiotics, she underwent right nephrectomy. Next, she was admitted to intensive care unit for monitoring. After three days, she was discharged with no complains. Follow-up for three months showed full recovery.
Clinical discussion
Emphysematous pyelonephritis is an emergent condition. A history of uncontrolled diabetes mellitus with current flank pain with fever raises the suspicion. Computed tomography could be performed to confirm the diagnosis.
Conclusion
Severe cases of emphysematous pyelonephritis are an emergent condition that needs nephrectomy.
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