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  • Title: [A case of emphysematous pyelonephritis with septic shock recovered by transurethral drainage of pelvis].
    Author: Okamoto T, Nomura K, Abe T, Yokota K, Banya Y, Kubo T, Ohhori T.
    Journal: Hinyokika Kiyo; 1989 May; 35(5):851-6. PubMed ID: 2678963.
    Abstract:
    A case of emphysematous pyelonephritis with septic shock was present in a 58-year-old diabetic woman. The spontaneous production of gas was present within the right renal pelvis in kidney-ureter-bladder X-ray. The patient's condition deteriorated rapidly after admission, became complicated with acute renal failure, disseminated intravascular coagulation and acute respiratory failure. Transurethral drainage of the pelvis using a 6 Fr. UPJ occlusion balloon catheter and endotracheal intubation with respiratory assistance were performed as a life-saving procedure. The optimal therapy with surgical or conservative approach for such a severe condition is discussed. The use of transurethral drainage of pelvis as a non-invasive treatment is suggested.
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