양측 수신증에 동반된 기종성 신우염

Emphysematous pyelonephritis is rare, severe, acute bacterial infection of the kidney characterized by the presence of gas within the renal parenchyma, collecting system or perinephric tissue and requires prompt diagnosis and the emergent intensive treatment. Emphysematous pyelitis is a distinct entity from emphysematous pyelonephritis and describes the presence of gas localized to the renal collecting system. Medical treatment is sufficient therapy if there is no obstruction. We report a case of both hydronephrosis complicated with emphysematous pyelitis which was occurred in 59-year-old diabetic patient. The patient was recovered by medical treatment alone.