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Acute obstructive pyelonephritis due to pyosalpinx: a case report

Article scientifique 2023 Anglais

Résumé

BACKGROUND: A pyosalpinx is the acute inflammation of the fallopian tube, which fills up and swells with pus. It commonly results from inadequate or delayed treatment of pelvic inflammatory disease. CASE PRESENTATION: We report the case of a 54-year-old Africain female patient, who presented with sustained high-grade fever, right flank pain, and severe acute storage low-urinary-tract symptoms. Computed tomography showed signs of acute obstructive pyelonephritis with a right tubular juxtauterine mass with complex internal fluid and thick enhancing walls exerting a mass effect on the right ureter. A drainage of the right excretory cavities by a JJ stent was performed. An ultrasound-guided aspiration of the collection was also performed. CONCLUSION: A pyosalpinx can then exert a mass effect on the excretory cavities, thus causing an acute obstructive pyelonephritis. A double drainage coupled with an effective antibiotic therapy is then necessary.

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Chaker, K., Ouanes, Y., Azouz, E., Trigui, M., Madani, A., Mosbahi, B., Elabed, W., Chbeb, O., Bibi, M., Dali, K., Ammous, A., Nouira, Y. (2023). Acute obstructive pyelonephritis due to pyosalpinx: a case report. https://doi.org/10.1186/s13256-023-03900-6

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Auteur(s)

Kays Chaker Yassine Ouanes E. Michel Azouz Mohamed Trigui Anouar Madani Boutheina Mosbahi Wiem Elabed Oumayma Chbeb M. Bibi Kheireddine Mrad Dali Adel Ammous Yassine Nouira

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