TITLE:
Giant Pyonephrosis Due to Urolithiasis and Diabetes: A Case Report
AUTHORS:
Alan Hasigov, Jean Paul Ndamba Engbang, Felix Fidarov
KEYWORDS:
Giant Pyonephrosis, Urolithiasis, Diabetes
JOURNAL NAME:
Open Journal of Urology,
Vol.6 No.7,
July
14,
2016
ABSTRACT: 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.