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Year : 2007  |  Volume : 23  |  Issue : 2  |  Page : 200-202

Failure of sonography to visualize a kidney affected by emphysematous pyelonephritis

1 Nephrology Section, Hines VA/Loyola University Medical Center, Hines; Illinois; Loyola University Medical Center, Department of Nephrology, 2160 First Avenue, Bldg 201, Rm 3601, Maywood, IL 60153, USA
2 Division of Nephrology, Stroger Hospital of Cook County and School of Medicine, John H. Stroger Hospital of Cook County, Section of Nephrology, 637 South Wood Street, Chicago, Illinois, 60612, USA

Correspondence Address:
Anis A Rauf
2160 First Avenue Bldg 106, Rm 3661 Maywood
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.32077

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We describe a diabetic patient who presented with acute renal failure as a result of acute bilateral emphysematous pyelonephritis. Initially, both an abdominal X-ray examination and a renal sonogram were unremarkable. Two days later, however, the previously visualized right kidney could not be demonstrated again by a repeat renal sonogram. A computed tomogram and a repeat abdominal X-ray study confirmed the diagnosis of emphysematous pyelonephritis. To our knowledge this is one of the few described cases of emphysematous pyelonephritis distinguished by a sonogram's inability to visualize a kidney because of interference with imaging by the gas produced by the bacteria that are responsible for the pyelonephritic infection.

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