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  • Title: Emphysematous pyelonephritis: surgical implications.
    Author: Shahatto N, al Awadhi NZ, Ghazali S.
    Journal: Br J Urol; 1990 Dec; 66(6):572-4. PubMed ID: 2265326.
    Abstract:
    Emphysematous pyelonephritis in patients with diabetes mellitus is increasingly recognised as a disease requiring urgent and aggressive treatment. We present 3 cases of emphysematous pyelonephritis; 1 patient required percutaneous nephrostomy followed by nephroureterectomy but the other 2 were successfully managed with antibiotics and control of diabetes. Diagnosis was confirmed by sequential imaging techniques which demonstrated an inflammatory renal mass associated with gas and fluid.
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