Skip to main content
Log in

Necrotizing fasciitis caused by emphysematous pyelonephritis through iliopsoas abscess

  • Case Report
  • Published:
Journal of Orthopaedic Science

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Levine EG, Manders SM. Life-threatening necrotizing fasciitis. Clin Dermatol. 2005;23:144–7.

    Article  PubMed  Google Scholar 

  2. Cunningham JD, Silver L, Rudikoff D. Necrotizing fasciitis: a plea for early diagnosis and treatment. Mt Sinai J Med. 2001;68:253–61.

    PubMed  CAS  Google Scholar 

  3. Wysoki MG, Santora TA, Shah RM, Friedman AC. Necrotizing fasciitis: CT characteristics. Radiology. 1997;203:859–63.

    PubMed  CAS  Google Scholar 

  4. Huang JJ, Tseng CC. Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis. Arch Intern Med. 2000;160:797–805.

    Article  PubMed  CAS  Google Scholar 

  5. Lin DC, Shieh GS, Tong YC. Bilateral emphysematous pyelonephritis combined with subcapsular hematoma and disseminated necrotizing fasciitis. Urol Int. 2003;70:244–6.

    Article  PubMed  Google Scholar 

  6. Ishigami K, Bolton-Smith JA, DeYoung BR, Barloon TJ. Necrotizing fasciitis caused by xanthogranulomatous and emphysematous pyelonephritis: importance of the inferior lumbar triangle pathway. AJR Am J Roentgenol. 2004;183:1708–10.

    PubMed  Google Scholar 

  7. Ye YX, Wen YK. Emphysematous pyelonephritis presenting as necrotizing fasciitis of the leg. J Chin Med Assoc. 2009;72:160–2.

    Article  PubMed  Google Scholar 

  8. Van Dyke JA, Holley HC, Anderson SD. Review of iliopsoas anatomy and pathology. RadioGraphics. 1987;7:53–84.

    PubMed  Google Scholar 

  9. Brook I, Frazier EH. Clinical and microbiological features of necrotizing fasciitis. J Clin Microbiol. 1995;33:2382–7.

    PubMed  CAS  Google Scholar 

  10. Kuo CY, Lin CY, Chen TC, Lin WR, Lu PL, Tsai JJ, Chang K, Hsieh HC, Chen YH. Clinical features and prognostic factors of emphysematous urinary tract infection. J Microbiol Immunol Infect. 2009;42:393–400.

    PubMed  CAS  Google Scholar 

  11. Stunell H, Buckley O, Feeney J, Geoghegan T, Browne RF, Torreggiani WC. Imaging of acute pyelonephritis in the adult. Eur Radiol. 2007;17:1820–8.

    Article  PubMed  CAS  Google Scholar 

  12. Gutknecht DR. Retroperitoneal abscess presenting as emphysema of the thigh. J Clin Gastroenterol. 1997;25:685–7.

    Article  PubMed  CAS  Google Scholar 

  13. Secil M, Topacoglu H. Retroperitoneal necrotizing fasciitis secondary to colonic diverticulitis. J Emerg Med. 2008;34:95–7.

    Article  PubMed  Google Scholar 

  14. El-Masry NS, Theodorou NA. Retroperitoneal perforation of the appendix presenting as right thigh abscess. Int Surg. 2002;87:61–4.

    PubMed  Google Scholar 

  15. Marron CD, McArdle GT, Rao M, Sinclair S, Moorehead J. Perforated carcinoma of the caecum presenting as necrotising fasciitis of the abdominal wall, the key to early diagnosis and management. BMC Surg. 2006;6:11.

    Article  PubMed  Google Scholar 

  16. Takakura Y, Ikeda S, Yoshimitsu M, Hinoi T, Sumitani D, Takeda H, Kawaguchi Y, Shimomura M, Tokunaga M, Okajima M, Ohdan H. Retroperitoneal abscess complicated with necrotizing fasciitis of the thigh in a patient with sigmoid colon cancer. World J Surg Oncol. 2009;7:74.

    Article  PubMed  Google Scholar 

  17. Ishigami K, Khanna G, Samuel I, Dahmoush L, Sato Y. Gas-forming abdominal wall abscess: unusual manifestation of perforated retroperitoneal appendicitis extending through the superior lumbar triangle. Emerg Radiol. 2004;10:207–9.

    Article  PubMed  Google Scholar 

  18. Sailesh S, Randeva HS, Hillhouse EW, Patel V. Fatal emphysematous pyelonephritis with gas in the spinal extradural space in a patient with diabetes. Diabet Med. 2001;18:68–71.

    Article  PubMed  CAS  Google Scholar 

  19. Smith-Slatas CL, Bourque M, Salazar JC. Clostridium septicum infections in children: a case report and review of the literature. Pediatrics. 2006;117:e796–805.

    Article  PubMed  Google Scholar 

  20. Chetta SG, Weber MJ, Nelson CL. Non-traumatic clostridial myonecrosis. Report of two cases. J Bone Joint Surg Am. 1982;64:456–7.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tadashi Yasuda.

About this article

Cite this article

Yasuda, T., Tani, Y. Necrotizing fasciitis caused by emphysematous pyelonephritis through iliopsoas abscess. J Orthop Sci 16, 832–835 (2011). https://doi.org/10.1007/s00776-011-0073-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00776-011-0073-z

Keywords

Navigation