Giant Pyonephrosis Due to Urolithiasis and Diabetes: A Case Report  

作　　者：Alan Hasigov Jean Paul Ndamba Engbang Felix Fidarov Alan Hasigov;Jean Paul Ndamba Engbang;Felix Fidarov(Republican Clinical Hospital, Vladikavkaz, Russia;North-Ossetian State Medical Academy, Vladikavkaz, Russia;Faculty of Medicine and Pharmaceutical Sciences, The University of Douala, Douala, Cameroon)

机构地区：[1]Republican Clinical Hospital, Vladikavkaz, Russia [2]North-Ossetian State Medical Academy, Vladikavkaz, Russia [3]Faculty of Medicine and Pharmaceutical Sciences, The University of Douala, Douala, Cameroon

出　　处：《Open Journal of Urology》2016年第7期122-125,共5页泌尿学期刊（英文）

摘　　要：Pyonephrosis results from upper urinary tract infection in combination with obstruction and hydronephrosis. The consequence of that is the suppurative destruction of the renal parenchyma. Instead of infection and obstruction which play a role in its etiology, some factors can be considered as risk for pyonephrosis, such as immunosuppression due to medications (steroids), disease (diabetes mellitus, acquired immunodeficiency syndrome [AIDS]). Patients with pyonephrosis may present clinical symptoms and signs such as fever, flank pain and nephromegaly. The diagnose is performed using imaging means (computed tomography, ultrasound). Without treatment, the disease can progress to the urosepsispyonephrosis, which is the most redoubtable complication. The chosen treatment for patients remains nephrostomy or nephrectomy. In some cases, partial nephrectomy may be an option. We are presenting a case of a diabetic patient who with a giant pyonephrosis.Pyonephrosis results from upper urinary tract infection in combination with obstruction and hydronephrosis. The consequence of that is the suppurative destruction of the renal parenchyma. Instead of infection and obstruction which play a role in its etiology, some factors can be considered as risk for pyonephrosis, such as immunosuppression due to medications (steroids), disease (diabetes mellitus, acquired immunodeficiency syndrome [AIDS]). Patients with pyonephrosis may present clinical symptoms and signs such as fever, flank pain and nephromegaly. The diagnose is performed using imaging means (computed tomography, ultrasound). Without treatment, the disease can progress to the urosepsispyonephrosis, which is the most redoubtable complication. The chosen treatment for patients remains nephrostomy or nephrectomy. In some cases, partial nephrectomy may be an option. We are presenting a case of a diabetic patient who with a giant pyonephrosis.

关 键 词：Giant Pyonephrosis UROLITHIASIS DIABETES 

分 类 号：R58[医药卫生—内分泌]