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Emphysematous Pyelonephritis on Renal Transplant Due to Stenosis of Uretero-Vesical Anastomosis: Observation and Initial Intervention (Case Report)

Nedjim A Saleh1*, Nzambimana Deogratias1, Mahamat Ali Mahamat2, Abdi Mostapha1, Moataz Amine1, Dakir Mohamed1, Debbagh Adil1, Aboutaieb Rachid1

Emphysematous pyelonephritis is a rare infectious complication of kidney transplantation. It is defined by the presence of gas in the renal parenchyma, the excretory cavities and the perirenal space due to non-anaerobic gasforming bacteria. Its management is not codified nowadays, and this is due to its rarity and limited number of reported cases. During the past, nephrectomy was the rule. But nowadays, management is based on resuscitation measures and urinary tract’s diversion. In this article, authors present a case of emphysematous pyelonephritis in a 77-year-old patient with a transplanted kidney 29 years previously. His management was conservative with favorable ultimate evolution.