Diabetes Monit 2000;1(1):92-98.
당뇨병 환자에서 발생한 자궁탈과 수신요관증을 동반한 양측성 기종성 신우신염및 방광염
김정민, 신현호, 조동혁, 이연상, 이대호, 정동진, 이태희
A Case of Bilateral Emphysematous Pyelonephritis and Emphysematous Cystitis with Hydroureteronephrosis due to Uterine Prolapse in Diabetic Patient
Jung Min Kim, Hyun Ho Shin, Dong Hyeok Cho, Yeon Sang Lee, Dae Ho Lee, Dong Jin Chung, Tae Hee Lee
Abstract
Emphysematous pyelonephritis is a rare and fatal renal necrotizing infection, which is commonly encountered in patients with diabetes mellitus or urinary tract obstruction. 24 cases of bilateral emphysematous pyelonephritis and only 3 cases of emphysematous pyelonephritis with emphysematous cystitis have been reported. In ease of bilateral emphysematous pyelonephritis, sevirity of infection and renal sparing measures must be considered in therapy stratagies, however, timely surgical treatment should not be delayed. We report an unusual case, i.e. diabetic women with both hydroureteronephrosis due to complete uterine prolapse, who suffered from bilateral emphysematous pyelonephritis and emphysematous cystitis.
Key Words: Emphysematous pyeionephritia, Dlabetes mellitus, Uterine prolapse
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