気腫性腎孟腎炎の2例

Abstract

Two cases of emphysematous pyelonephritis were reported. Case 1: A 64-year-old man suffered from facial edema, dysuria and fever attack for two months. Physical examination revealed facial edema, tenderness in the right abdomen and tympanic sound in the whole abdomen by percussion. KUB demonstrated that the right ureter, pelvis and calyces were filled with gas shadow. After six month's antibacterial therapy, the gas shadow in the upper urinary tract disappeared. Case 2: A 55-year-old man suffered from diabetes mellitus for several years, and was admitted because of hepatoma. KUB on a standing position showed a giant gas shadow with air-fluid level, Dilated calyces were demonstrated by the DIP films. Retrograde pyelography on the left demonstrated the stenosis of the uretero-pelvic junction and marked dilatation of the pelvis and all calyces. After one month, he died of aggravation of hepatoma.