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 obst...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.展开更多
The one-phase therapy for calculous pyonephrosis through percutaneous nephrolithotomy （PCNL） iscurrently vigorously debated. After a definite preoperative diagnosis of pyonephrosis, the traditional approach1 has bee...The one-phase therapy for calculous pyonephrosis through percutaneous nephrolithotomy （PCNL） iscurrently vigorously debated. After a definite preoperative diagnosis of pyonephrosis, the traditional approach1 has been initial drainage through puncture and nephrostomy. Upon the stabilization of symptoms, a second-phase operation is performed. If pus is discovered during an intra-operative puncture, a nephrostomy tube is deposited until a second elective operation. With the advancements of science and technology, the third generation EMS LithoClast master is capable of not only efficiently crushing and removing the stones, but also lowering the intra-pelvic pressure through vacuum suction. Thus the surgical risks have been greatly reduced so that many one-phase operations for calculous pyonephrosis may be completed.2展开更多
This case report is designed to investigate sequential treatment principles,the appropri-ate timing for nephrostomy and radical nephrectomy,and the merits and demerits of la-paroscopic and open surgical procedures in ...This case report is designed to investigate sequential treatment principles,the appropri-ate timing for nephrostomy and radical nephrectomy,and the merits and demerits of la-paroscopic and open surgical procedures in the context of a duplex kidney accompanied by pyonephrosis.Through a meticulous analysis of two representative cases and a com-prehensive review of pertinent literature,the report offers a valuable reference for clinical practice.This enables the optimization of treatment strategies for patients afflicted with a duplex kidney and pyonephrosis,leading to enhanced treatment efficacy and a reduction in potential complications.展开更多
文摘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.
文摘The one-phase therapy for calculous pyonephrosis through percutaneous nephrolithotomy （PCNL） iscurrently vigorously debated. After a definite preoperative diagnosis of pyonephrosis, the traditional approach1 has been initial drainage through puncture and nephrostomy. Upon the stabilization of symptoms, a second-phase operation is performed. If pus is discovered during an intra-operative puncture, a nephrostomy tube is deposited until a second elective operation. With the advancements of science and technology, the third generation EMS LithoClast master is capable of not only efficiently crushing and removing the stones, but also lowering the intra-pelvic pressure through vacuum suction. Thus the surgical risks have been greatly reduced so that many one-phase operations for calculous pyonephrosis may be completed.2
文摘This case report is designed to investigate sequential treatment principles,the appropri-ate timing for nephrostomy and radical nephrectomy,and the merits and demerits of la-paroscopic and open surgical procedures in the context of a duplex kidney accompanied by pyonephrosis.Through a meticulous analysis of two representative cases and a com-prehensive review of pertinent literature,the report offers a valuable reference for clinical practice.This enables the optimization of treatment strategies for patients afflicted with a duplex kidney and pyonephrosis,leading to enhanced treatment efficacy and a reduction in potential complications.
