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RESIDENT’S CORNER

Gas in the inferior vena cava from severe emphysematous pyelonephritis

Kristen McAlpine¹, Stephen E. Ryan², Matthew Roberts¹, Humberto R. Vigil¹

1 Division of Urology, University of Ottawa, Ottawa, Ontario, Canada
2 Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada
Address correspondence to Dr. Kristen McAlpine, Division of Urology, University of Ottawa, 1053 Carling Avenue, Ottawa, ON K1Y 4E9 Canada

Canadian Journal of Urology 2020, 27(2), 10195-10198.

Abstract

Emphysematous pyelonephritis is a life-threatening, urologic emergency. We present the case of a 54-year-old female who was found to have a large volume of air in her renal vein and inferior vena cava from severe emphysematous pyelonephritis. In this case report, the medical and operative management of this patient are reviewed, and the literature on the management of emphysematous pyelonephritis is summarized.

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