Emphysematous pyelonephritis: Dilemma between radical or conservative treatment (report of 3 cases): Emphysematous pyelonephritis

Hanane Ezzouine; Anass Cherkaoui; Abdellatif Benslama

Authors

Hanane Ezzouine University Teaching Hospital Ibn Rushd; Faculty of Medicine and Pharmacy, University Hassan II, Casablanca, Morocco
Anass Cherkaoui University Teaching Hospital Ibn Rushd; Faculty of Medicine and Pharmacy, University Hassan II, Casablanca, Morocco
Abdellatif Benslama University Teaching Hospital Ibn Rushd; Faculty of Medicine and Pharmacy, University Hassan II, Casablanca, Morocco

Keywords:

Emphysematous pyelonephritis, medical treatment, nephrectomy, prognosis

Abstract

Emphysematous pyelonephritis (EPN) is a rare form of renal suppuration. It is associated with a high mortality in the absence of rapid and effective treatment. Nephrectomy is suggested as the reference treatment associated to medical treatment. However, medical treatment exclusive is a conservative therapeutic option which is effective and successful in some cases. Many clinical and radiological criteria must be analyzed and gathered; we describe three cases of EPN treated successfully with medical treatment alone in two cases and associated to nephrectomy in one case.

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Emphysematous pyelonephritis: Dilemma between radical or conservative treatment (report of 3 cases)