Giant Pyonephrosis in an Ectopic Kidney: A Case Report.
Mensur Mohammed AhmedMubarek Bargicho AdemAdugna Getachew MideksaTolesa Yadeta HulukaPublished in: Research and reports in urology (2023)
Pyonephrosis is characterized by infective hydronephrosis accompanied by suppurative destruction of the renal parenchyma, resulting in partial or complete impairment of renal function. Patients present with wide range of symptoms, they can be asymptomatic in 15% but most of them present with septic features like fever, chills, and flank pain. Urinary tract infections, functional and anatomic obstruction, and anatomic anomalies such as pelvic and horseshoe kidneys are common etiologic factors. We report a 30 years old female patient with giant pyonephrosis in an ectopic kidney. She presented with acute toxic symptoms after she has been experiencing progressive abdominal swelling and pain for a couple of years. Simple nephrectomy was done four weeks after she has been initially treated with percutaneous drainage of the pus and intravenous antibiotics.
Keyphrases
- urinary tract infection
- chronic pain
- end stage renal disease
- newly diagnosed
- pain management
- ejection fraction
- neuropathic pain
- chronic kidney disease
- multiple sclerosis
- ultrasound guided
- case report
- high dose
- acute kidney injury
- minimally invasive
- prognostic factors
- physical activity
- rectal cancer
- spinal cord
- patient reported outcomes
- radiofrequency ablation
- aortic dissection
- postoperative pain