Management of a Rare Emphysematous Pyelonephritis Complicated by a Large Retroperitoneal Collection

Abstract

Emphysematous pyelonephritis is a diagnostic and therapeutic emergency, the management depends on the radiological classification of Hyaung and Tseng, the patient's condition and the presence of risk factors namely: thrombocytopenia, acute renal failure, shock and disturbances of consciousness.Conservative treatment based on antibiotic therapy, percutane drainage is most often indicated, and nephrectomy is reserved for severe forms. We report a case of rare emphysematous pyelonephritis complicated by a large retroperitoneal collection. The treatment was an antibiotherapy associated with percutaneous drainage and the evolution was favorable.