Spontaneous rupture of a giant pyonephrosis: A case report

Niang, Fallou Galass; Faye, Ibrahima; Ndong, Abdourahmane; Thiam, Issa; Diop, Abdoulaye Ndoye

doi:10.1016/j.radcr.2022.01.056

Cited by 4 publications

(3 citation statements)

References 5 publications

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“… 9 Niang et al recently reported a case of giant pyonephrosis containing 10 liters of pus and spontaneously ruptured in the adjacent muscles and the treatment was an aspiration followed by a nephrectomy by laparotomy. 10 In our case, we initially managed her with percutaneous drainage of pus and stabilized with hydration and intravenous antibiotics, followed by simple nephrectomy on an elective basis. The patient had an uneventful postoperative course and follow up.…”

Section: Discussionmentioning

confidence: 91%

Giant Pyonephrosis in an Ectopic Kidney: A Case Report

Ahmed,

Adem,

Mideksa

et al. 2023

RRU

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Pyonephrosis is characterized by infective hydronephrosis accompanied by suppurative destruction of the renal parenchyma, resulting in partial or complete impairment of renal function. Patients present with wide range of symptoms, they can be asymptomatic in 15% but most of them present with septic features like fever, chills, and flank pain. Urinary tract infections, functional and anatomic obstruction, and anatomic anomalies such as pelvic and horseshoe kidneys are common etiologic factors. We report a 30 years old female patient with giant pyonephrosis in an ectopic kidney. She presented with acute toxic symptoms after she has been experiencing progressive abdominal swelling and pain for a couple of years. Simple nephrectomy was done four weeks after she has been initially treated with percutaneous drainage of the pus and intravenous antibiotics.

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Section: Discussionmentioning

confidence: 91%

Giant Pyonephrosis in an Ectopic Kidney: A Case Report

Ahmed,

Adem,

Mideksa

et al. 2023

RRU

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“…Calcium and uric stones are usually noninfectious and result from an imbalance between factors that promote or inhibit urine crystallization [ 10 ]. In patients with these types of calculi, infection may occur secondarily after long-standing obstruction, leading to bacterial overgrowth associated with urinary stasis [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Pyelo-hepatic abscess caused by staghorn stone infection: a case report

Salgado,

Pesantes-Barros,

Rosales

et al. 2023

J Med Case Reports

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Background The most common source of pyogenic liver abscess is biliary tract infection. Other less common routes include the spread of bacteria from distant foci. However, direct extension of a perinephric infection focus to the liver is extremely rare. Case report The patient was a non-diabetic, immunocompetent, 29-year-old woman of mixed race ancestry with a history of recurrent urinary tract infections who was referred to our hospital because of an ultrasound-detected liver abscess. She was initially treated with metronidazole for 20 days at the referring institution for suspected amebic abscess without improvement. On admission to our center, she was febrile and complained of a dull right upper quadrant pain. A POCUS ultrasound suggested a pyogenic abscess, probably from a staghorn calculus infection. She received meroperem and amikacin for 22 and 10 days, respectively. Repeat hemocultures showed no growth, but urine cultures were positive for Proteus sp. Complete remission of clinical and imaging findings was observed under antibiotics. The patient was referred to the urology outpatient clinic to discuss the option of radical nephrectomy. Conclusion This case underlines the high morbidity of staghorn calculi.

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“…Although rupture of pyonephrosis is also very rare, Niang et al recently reported a retroperitoneal rupture with extension up to the crural muscles, treated successfully by percutaneous nephrostomy followed by nephrectomy [ 12 ]. Intraperitoneal ruptures are also possible.…”

Section: Discussionmentioning

confidence: 99%

Multiple Percutaneous Drainage of a Giant Pyonephrosis Caused by Urolithiasis: A Case Report

Puia¹,

Gheorghinca²,

Pricop³

2023

Cureus

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The prevalence of kidney stones continues to rise in modern times. Undiagnosed and/or mistreated, it can result in suppurative kidney damage and, in rare instances, death from systemic infection. We present the case of a 40-year-old woman who presented to the county hospital for sleight left lumbar pain, fever, and pyuria for about two weeks. Ultrasound and CT scan revealed a giant hydronephrosis with no visible parenchyma, secondary to a stone in the pelvic-ureteral junction. Although a nephrostomy stent was placed, 48 hours later the purulent content was not evacuated completely. She was referred to a tertiary center, where two more nephrostomy tubes were placed to completely evacuate approximately 3 L of purulent urine. Three weeks later, after the inflammation parameters normalized, a nephrectomy was performed with good outcomes.A pyonephrosis urologic emergency can develop into septic shock, demanding rapid medical attention to prevent potentially fatal outcomes. In some circumstances, percutaneous draining of a purulent collection may not be sufficient to remove the whole purulent mass. Before nephrectomy, all collections must be removed with further percutaneous procedures.

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Spontaneous rupture of a giant pyonephrosis: A case report

Cited by 4 publications

References 5 publications

Giant Pyonephrosis in an Ectopic Kidney: A Case Report

Giant Pyonephrosis in an Ectopic Kidney: A Case Report

Pyelo-hepatic abscess caused by staghorn stone infection: a case report

Multiple Percutaneous Drainage of a Giant Pyonephrosis Caused by Urolithiasis: A Case Report

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