Pielonefritis Enfisematosa
Paciente femenina de 53 años de edad ,vista por nosotros por vez primera el 22 de Febrero 2010, con proceso febril severo, escalofríos. En su historia personal destaca antecedentes de neumonia nosocomial, hipertensión grado I. Le instalaron catéter uretero-renal izquierdo por absceso renal. La paciente cursa con anemia e hipocalemia. Al examen sonografico inicial apreciamos la presencia de total des-estructuración de la silueta renal izquierda , sin poder apreciarse la frontera cortico-medular y con presencia de área anecogena, pobremente definida. El catéter de drenaje se visualiza durante la exploración en localización adecuada. Tres días mas tarde se repite el examen, tras retirarse el catéter, apreciándose aun la presencia de material grumoso que prácticamente sustituye al tejido renal normal ( ver ultima imagen ).El diagnostico es de pielonefritis enfisematosa con presencia de abundante gas en el interior del tejido renal izquierdo.
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, hypertension grade I.
I installed ureterorenal 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 the exploration of inappropriate 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 the last image). The diagnosis is emphysematous pyelonephritis with the abundant presence of gas within the left renal tissue.
Emphysematous pyelonephritis
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, hypertension grade I.
I installed ureterorenal 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 the exploration of inappropriate 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 the last image). The diagnosis is emphysematous pyelonephritis with the abundant presence of gas within the left renal tissue.
Sonografias 22 Febrero 2010
Sonography February 22, 2010
