AJR ARRS Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by LANGSTON, C. S.
Right arrow Articles by PFISTER, R. C.
Right arrow Search for Related Content
PubMed
Right arrow Articles by LANGSTON, C. S.
Right arrow Articles by PFISTER, R. C.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

RENAL EMPHYSEMA

A CASE REPORT AND REVIEW OF THE LITERATURE

CHARLES S. LANGSTON M.D.1 and RICHARD C. PFISTER M.D.2

1 Clinical Fellow in Radiology at the Massachusetts General Hospital; First Assistant Resident in Radiology, Massachusetts General Hospital.
2 Instructor in Radiology at the Massachusetts General Hospital, Harvard Medical School; Assistant Radiologist, Massachusetts General Hospital.

Review of the previously reported 27 cases and our own case of renal emphysema emphasizes that this is a roentgenologic diagnosis of a medical-surgical emergency which at the present time still carries a 55 per cent mortality.

Typically, the patient is a diabetic female past middle age, in good metabolic control, sometimes with a previous history of coliform urinary tract infections. The illness is acute, usually less than 3 days in duration at the time of diagnosis, and the patient frequently presents with gram-negative sepsis.

The earliest roentgenographic signs are a diffuse mottling of the renal parenchyma by hydrogen and carbon dioxide filled abscesses which are often radially distributed. As the infection spreads through the cortex, the gas extends beyond the renal capsule and is contained by Gerota's fascia, producing a crescentic margin or complete outlining of the kidney. Occasionally the infection and gas spread from the perirenal fascia into the retroperitoneal space.

The best method for evaluating the uncertain case seems to be nephrotomography which should be performed as soon as possible so that immediate surgical and medical treatment may be started.


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 RadioGraphicsHome page
D. E. Grayson, R. M. Abbott, A. D. Levy, and P. M. Sherman
Emphysematous Infections of the Abdomen and Pelvis: A Pictorial Review
RadioGraphics, May 1, 2002; 22(3): 543 - 561.
[Abstract] [Full Text] [PDF]

Home page
 Arch Intern MedHome page
J.-J. Huang and C.-C. Tseng
Emphysematous Pyelonephritis: Clinicoradiological Classification, Management, Prognosis, and Pathogenesis
Arch Intern Med, March 27, 2000; 160(6): 797 - 805.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1970 by the American Roentgen Ray Society.