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- Title
Emphysematous pyelonephritis: A rare cause of sepsis in hepatocellular carcinoma.
- Authors
Wan Hanafi, Hany Haqimi; Mustaffa, Nazri; Lee, Yeong Yeh; Mohd Nawi, Siti Nurbaya
- Abstract
The association between emphysematous pyelonephritis (EPN) and diabetes mellitus is well known. EPN as the cause of sepsis in hepatocellular carcinoma (HCC) is rare and unreported. We report a case of EPN in a non-diabetic HCC patient, in which the clinical features of decompensated chronic liver disease masked the more sinister urological emergency to a certain degree. A computed tomography scan of the abdomen revealed a mixture of gas and fluid in the left retrorenal space, in keeping with left EPN. Nevertheless, the course of clinical deterioration was rather rapid that any surgical intervention was not feasible.
- Subjects
URINARY organ disease diagnosis; PYELONEPHRITIS; SEPSIS; COMPUTED tomography; HEPATOCELLULAR carcinoma; RARE diseases; ABDOMINAL radiography; DISEASE complications
- Publication
Proceedings of Singapore Healthcare, 2021, Vol 30, Issue 4, p344
- ISSN
2010-1058
- Publication type
Article
- DOI
10.1177/2010105821992805