Jiang Y, Lo R, Lu ZQ, Cheng XB, Xiong L, Luo BF. Successful endoscopic surgery for emphysematous pyelonephritis in a non-diabetic patient with autosomal dominant polycystic kidney disease: A case report. World J Clin Cases 2021; 9(12): 2862-2867 [PMID: 33969070 DOI: 10.12998/wjcc.v9.i12.2862]
Corresponding Author of This Article
Yi Jiang, MM, Surgeon, Department of Surgery, The University of Hong Kong-Shenzhen Hospital, No. 1 Haiyuan Road, Futian District, Shenzhen 518053, Guangdong Province, China. jiangy8@hku-szh.org
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 26, 2021; 9(12): 2862-2867 Published online Apr 26, 2021. doi: 10.12998/wjcc.v9.i12.2862
Successful endoscopic surgery for emphysematous pyelonephritis in a non-diabetic patient with autosomal dominant polycystic kidney disease: A case report
Yi Jiang, Richard Lo, Zhen-Quan Lu, Xiao-Bao Cheng, Lin Xiong, Bing-Feng Luo
Yi Jiang, Richard Lo, Zhen-Quan Lu, Xiao-Bao Cheng, Lin Xiong, Bing-Feng Luo, Department of Surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518053, Guangdong Province, China
Author contributions: Jiang Y contributed to the project development, data collection, surgery, data analysis, and manuscript composition; Lo R contributed to the supervision throughout the development of the work; Lu ZQ and Luo BF contributed to the data analysis; Cheng XB and Xiong L contributed to the data collection.
Informed consent statement: The informed written consent was waived by the Ethics Committee of the University of Hong Kong-Shenzhen Hospital. The Ethics Committee approval number is 2020144.
Conflict-of-interest statement: The authors declare that they have no competing interests to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi Jiang, MM, Surgeon, Department of Surgery, The University of Hong Kong-Shenzhen Hospital, No. 1 Haiyuan Road, Futian District, Shenzhen 518053, Guangdong Province, China. jiangy8@hku-szh.org
Received: November 20, 2020 Peer-review started: November 20, 2020 First decision: December 24, 2020 Revised: January 5, 2021 Accepted: February 19, 2021 Article in press: February 19, 2021 Published online: April 26, 2021
Core Tip
Core Tip: Emphysematous pyelonephritis (EPN) is a rare but critical necrotizing infection. Most patients have diabetes, and the incidence of EPN in non-diabetic patients with autosomal dominant polycystic kidney disease (ADPKD) is extremely rare. There are very few published articles about conservative treatment and nephrectomy that are used to treat such patients. We present the clinical case of a 47-year woman who was diagnosed with EPN and multiple renal stones with ADPKD confirmed by a non-contrast computed tomography. The patient was treated successfully with insertion of a double “J” stent followed by a second-stage flexible ureteroscopy and lithotripsy. For non-diabetic patients diagnosed with EPN and ADPKD, it is critical to relieve the combined upper urinary tract obstruction by internal drainage.
