case_images: PMC10163593_01
case_images: Non-contrast CT scan of the abdomen revealed a significantly enlarged and emphysematous right kidney (arrows) on the axial view (A) and on the coronal view (B).
case_images: tsaco-2023-001156f01.jpg
case_images: PMC10163593_01_tsaco-2023-001156f01.jpg
case_images: F1
case_images: CT scan of the abdomen revealed emphysematous changes in the right kidney (figure 1), and the diagnosis of right emphysematous pyelonephritis (EPN) class 3B was made.
case_images: A plain abdominal X-ray at admission showed a sparse bubbly shadow in the area of the right kidney (A). Six hours later, repeat X-ray showed that the right kidney shadow had been replaced by air (B).
case_images: tsaco-2023-001156f02.jpg
case_images: PMC10163593_01_tsaco-2023-001156f02.jpg
case_images: F2
case_images: A portable abdominal X-ray showed progression of emphysematous changes in the right kidney (figure 2).
case_images: The right nephrectomy specimen had spongy changes throughout the parenchyma.
case_images: tsaco-2023-001156f03.jpg
case_images: PMC10163593_01_tsaco-2023-001156f03.jpg
case_images: F3
case_images: The renal parenchyma was spongy and drained purulent material (figure 3) and a right nephrectomy was performed.