A Giant Case of Pyonephrosis Resulting from Nephrolithiasis

Pyonephrosis is an uncommon disease that is associated with suppurative destruction of the renal parenchyma in adults. Upper urinary tract infection and obstruction play a role in its etiology. Immunosuppression from medications (steroids), diseases (diabetes mellitus, AIDS), and anatomic variations...

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Main Authors: Ali Erol, Soner Çoban, Ali Tekin
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2014/161640
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author Ali Erol
Soner Çoban
Ali Tekin
author_facet Ali Erol
Soner Çoban
Ali Tekin
author_sort Ali Erol
collection DOAJ
description Pyonephrosis is an uncommon disease that is associated with suppurative destruction of the renal parenchyma in adults. Upper urinary tract infection and obstruction play a role in its etiology. Immunosuppression from medications (steroids), diseases (diabetes mellitus, AIDS), and anatomic variations (pelvic kidney, horseshoe kidney) may also be risk factors for pyonephrosis. Fever, shivering, and flank pain are frequent clinical symptoms. On physical examination, a palpable abdominal mass may be associated with the hydronephrotic kidney. Septic shock and death can occur if the disorder is not treated with urgent surgery. After the acute phase, most patients are treated with nephrectomy. In this paper, we share the etiology, clinical features, diagnosis and treatment of pyonephrosis using the background of a case with giant pyonephrosis developing due to a kidney stone, the most common cause of upper urinary tract obstruction.
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spelling doaj-art-4cc8ea597dbb481db92dcbb9ee6cc6ac2025-08-20T02:38:39ZengWileyCase Reports in Urology2090-696X2090-69782014-01-01201410.1155/2014/161640161640A Giant Case of Pyonephrosis Resulting from NephrolithiasisAli Erol0Soner Çoban1Ali Tekin2Department of Urology, Medical Park Hospital, Istanbul, TurkeyDepartment of Urology, Sevket Yilmaz Education and Research Hospital, Yildirim, Bursa, TurkeyDepartment of Urology, Duzce University School of Medicine, Duzce, TurkeyPyonephrosis is an uncommon disease that is associated with suppurative destruction of the renal parenchyma in adults. Upper urinary tract infection and obstruction play a role in its etiology. Immunosuppression from medications (steroids), diseases (diabetes mellitus, AIDS), and anatomic variations (pelvic kidney, horseshoe kidney) may also be risk factors for pyonephrosis. Fever, shivering, and flank pain are frequent clinical symptoms. On physical examination, a palpable abdominal mass may be associated with the hydronephrotic kidney. Septic shock and death can occur if the disorder is not treated with urgent surgery. After the acute phase, most patients are treated with nephrectomy. In this paper, we share the etiology, clinical features, diagnosis and treatment of pyonephrosis using the background of a case with giant pyonephrosis developing due to a kidney stone, the most common cause of upper urinary tract obstruction.http://dx.doi.org/10.1155/2014/161640
spellingShingle Ali Erol
Soner Çoban
Ali Tekin
A Giant Case of Pyonephrosis Resulting from Nephrolithiasis
Case Reports in Urology
title A Giant Case of Pyonephrosis Resulting from Nephrolithiasis
title_full A Giant Case of Pyonephrosis Resulting from Nephrolithiasis
title_fullStr A Giant Case of Pyonephrosis Resulting from Nephrolithiasis
title_full_unstemmed A Giant Case of Pyonephrosis Resulting from Nephrolithiasis
title_short A Giant Case of Pyonephrosis Resulting from Nephrolithiasis
title_sort giant case of pyonephrosis resulting from nephrolithiasis
url http://dx.doi.org/10.1155/2014/161640
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