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Emphysematous Pyelonephritis in a Uremic Patient with Hemorrhagic Renal Cell Carcinoma

惡性腎細胞癌併發氣腫性腎盂腎炎病例報告

摘要


氣腫性腎盂腎炎是由產氣菌感染所引起的一種不多見、病程進展快速而且致命的一種感染,其特徵是在腎臟實質、腎盂腎盞系統或腎臟旁側空間可以發現有氣體的成分存在。本病例是一個腎細胞癌合併發生氣腫性腎盂腎炎的病人。腹部電腦斷層顯示出在靠近左腎的上極部份有氣體的生成。經過積極的抗生素治療和經皮腎臟造口引流失敗,我們成功地採用根除性的腎臟切除將病情于以控制。病理報告診斷為惡性腎細胞癌。

並列摘要


Emphysematous pyelonephritis (EPN) is a rapidly progressive, gas-forming and life-threatening infection of the renal, pelvicalyceal and perirenal tissues. Herein we repot a 73-year-old female uremic patient with a renal mass associated with emphysematous pyelonephritis. Computerized tomography of the abdomen showed gas formation in the upper pole of the left kidney. After the failure of antimicrobial therapy and percutaneous drainage, she was treated successfully with radical nephrectomy. The pathologic diagnosis of the left kidney showed existence of renal cell carcinoma in addition to EPN.

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