Emphysematous pyelonephritis: A rare cause of sepsis in hepatocellular carcinoma. (December 2021)

• Record Type: Journal Article
• Authors: Wan Hanafi, Hany Haqimi; Mustaffa, Nazri; Lee, Yeong Yeh; Mohd Nawi, Siti Nurbaya
• Is Part Of: Proceedings of Singapore healthcare. Volume 30:Number 4(2021)
• Page Start: 344
• Page End: 347
• Publication Date: 2021-12
• Subjects: Emphysematous pyelonephritis -- hepatocellular carcinoma -- sepsis; Medical care -- Singapore -- Periodicals; Medical care; Singapore; Periodicals; 362.1095957
• DOI: 10.1177/2010105821992805
• Languages: English
• ISSNs: 2010-1058

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.