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Case Reports
. 2023 Apr 25;17(1):166.
doi: 10.1186/s13256-023-03900-6.

Acute obstructive pyelonephritis due to pyosalpinx: a case report

Kays Chaker  1 , Yassine Ouanes  2 , Eya Azouz  3 , Mohamed Trigui  2 , Anouar Madani  2 , Boutheina Mosbahi  4 , Wiem Elabed  4 , Oumayma Chbeb  4 , Mokhtar Bibi  2 , Kheireddine Mrad Dali  2 , Adel Ammous  4 , Yassine Nouira  2
Affiliations
Case Reports

Acute obstructive pyelonephritis due to pyosalpinx: a case report

Kays Chaker et al. J Med Case Rep. .

Abstract

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.

Keywords: Drainage; Pelvic inflammatory disease; Pyelonephritis; Pyosalpinx.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Fig. 1
Fig. 1
Computed Tomography showed a right hydroureteronephrosis, infiltration of the right peri-renal fat, multiple nephritis foci (Arrow)
Fig. 2
Fig. 2
Computed Tomography findings include a right tubular juxta-uterine mass with complex internal fluid and thick enhancing walls (Arrow)
Fig. 3
Fig. 3
Scannographic aspect of a pyosalpinx (Arrow) exerting a mass effect on the right ureter responsible for a right obstructive renal syndrome
Fig. 4
Fig. 4
Ultrasound showing an irregular adnexal cystic mass with a thin wall, measuring 6 cm. The “cogwheel sign” suggested that mass was a pyosalpinx
See this image and copyright information in PMC

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