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- W2067403270 abstract "Introduction Emphysematous pyelonephritis (EPN) may be defined as a severe infection of the kidney that leads to necrosis and the presence of gas in the renal parenchyma, surrounding tissue, and the pelvi-calyceal system. EPN occurs almost exclusively in diabetics, but may occasionally complicate obstructive uropathy in non-diabetic patients. Case Report We present the case of a 45year old male with uncontrolled diabetes mellitus who presented with acute abdominal pain and free intraperitoneal air on abdominal radiograph, initially suggestive of hollow viscus perforation. He was found to have EPN that had ruptured into the peritoneal cavity. Conclusion Acute abdominal emergencies presenting with a pneumoperitoneum are not an uncommon occurrence in emergency centres throughout the world. However, rarely, patients present with the source of the pneumoperitoneum being an organ other than bowel. These patients need to be identified as soon as possible to prevent further morbidity and mortality arising from a delay in diagnosis." @default.
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- W2067403270 date "2014-12-01" @default.
- W2067403270 modified "2023-09-24" @default.
- W2067403270 title "Emphysematous pyelonephritis masquerading as hollow viscus perforation" @default.
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- W2067403270 doi "https://doi.org/10.1016/j.afjem.2014.06.003" @default.
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