Journal of Diagnostic Medical Sonography

 

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Journal of Diagnostic Medical Sonography, Vol. 1, No. 4, 139-143 (1985)
DOI: 10.1177/875647938500100402

Emphysematous Pyonephrosis

Paul R. Dierks, B.S., RDMS

Department of Radiology, University Hospital, 234 Goodman Street, Cincinnati, OH 95267-0742

Robert A. Clark, M.D.

Harold B. Spitz, M.D.

Department of Radiology, University Hospital, University of Cincinnati Medical Center, Cincinnati, Ohio

Two cases of emphysematous pyonephrosis are presented and discussed. Resulting from the extension of a renal infection into an obstructed collecting system, emphysematous pyonephrosis usually occurs in patients with diabetes mellitus, is usually unilateral, and generally has a poor clinical prognosis. Sonographically, emphysematous pyonephrosis presents as strong echoes near the renal sinus with acoustic shadowing and/or reverberation artifacts.

Key Words: emphysematous renal infections • emphysematous pyonephrosis • pyelonephritis • kidneys


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