EURORAD ESR

Case 14531

Hematuria and fever in a patient with polycystic kidney disease, a case report

Author(s)
Min Wouter, Van De Voorde Nick, Salgado Rodrigo, Mulkens Tom, Baeyaert Michel

Department of Radiology,
Heilig Hartziekenhuis Lier, Belgium.
 
Patient
female, 68 year(s)
 
 
  • Figure 1
    Unenhanced abdominal CT

    Unenhanced abdominal CT scan in a 68-year-old female patient with high fever and haematuria. An axial image at the level of the pelvis shows a significant amount of gas in the urinary bladder lumen (arrow).

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    Axial image

    An axial image at the level of the kidneys shows bilateral enlarged polycystic kidneys with an extensive gas collection in the right kidney (arrow), distributed along the pyelocalyceal system.

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    Axial image

    An axial image at the level of the kidneys demonstrates intraparenchymal gas in the right kidney, partially located in the wall of some renal cysts (arrows).

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    Coronal CT image

    A coronal CT image demonstrates the extensive amount of renal gas in the right kidney, located in the wall of some cysts (arrow) and intracalyceal (arrowhead).

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 5
    Table 1: CT-classification

    CT-classification of emphysematous pyelonephritis according to Wan et al. and the more recent classification according to Huang and Tseng [4-5].

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
Unenhanced abdominal CT scan in a 68-year-old female patient with high fever and haematuria. An axial image at the level of the pelvis shows a significant amount of gas in the urinary bladder lumen (arrow).
 
An axial image at the level of the kidneys shows bilateral enlarged polycystic kidneys with an extensive gas collection in the right kidney (arrow), distributed along the pyelocalyceal system.
 
An axial image at the level of the kidneys demonstrates intraparenchymal gas in the right kidney, partially located in the wall of some renal cysts (arrows).
 
A coronal CT image demonstrates the extensive amount of renal gas in the right kidney, located in the wall of some cysts (arrow) and intracalyceal (arrowhead).
 
CT-classification of emphysematous pyelonephritis according to Wan et al. and the more recent classification according to Huang and Tseng [4-5].
 
 
 
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