Evidence
Radiol Case Rep. 2024 Aug 14;19(11):4912-4916. doi: 10.1016/j.radcr.2024.07.100. eCollection 2024 Nov.
ABSTRACT
A 48-year-old female with a background history of alcoholic liver cirrhosis and noninsulin-dependent diabetes presented to our institution with emphysematous pyelonephritis of the right kidney diagnosed on CT. Both urine and blood culture grew multidrug-resistant Escherichia coli. The patient developed severe thrombocytopenia, hyponatremia, confusion as well as septic shock. Preoperative right renal arterial embolization was performed, followed by immediate primary nephrectomy. This article reports the first documented case of preoperative angioembolization to prevent severe intraoperative hemorrhage and vascular complications in severe emphysematous pyelonephritis.
PMID:39228943 | PMC:PMC11367261 | DOI:10.1016/j.radcr.2024.07.100
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