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Journal of Ultrasound in Medicine, Vol 3, Issue 12 533-537, Copyright © 1984 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Sonography of emphysematous pyelonephritis

H. A. Allen 3rd, J. W. Walsh, W. H. Brewer, C. W. Vick and J. W. Haynes

Emphysematous pyelonephritis is a rare gas-producing bacterial infection of the renal parenchyma seen primarily in patients with diabetes mellitus. Sonographic findings in four patients with this disease are described. Sonographic features consist of multiple high-amplitude echoes within the renal parenchyma, renal sinus, and/or perirenal space accompanied by acoustic shadowing. Computed tomography confirmed bilateral involvement in one case. Plain abdominal radiographs demonstrated abnormal extraluminal gas in three of four cases. The role of sonography in diagnosis is discussed.


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Copyright © 1984 by the American Institute of Ultrasound in Medicine.