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The Diagnosis and Treatment of Acute Cholecystitis

Kim KH

Acute cholecystitis (AC), defined as inflammation of the gallbladder, is mainly caused by gallstones. Over 90% of AC results from obstruction of the cystic duct by stones or sludge, which...
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Rapidly Fatal Emphysematous Osteomyelitis with Multiple Septic Emboli and Liver Abscess Caused by Klebsiella pneumoniae

Kim YK, Jo KM, Jang JH, Heo CM, Lee JH, Park JH, Kim S, Jang HJ, Kim HK, Kiem S

Emphysematous osteomyelitis, characterized by intraosseous gas, is a rare but potentially fatal condition that requires prompt diagnosis and aggressive therapy. Causative organisms are members of the bacterial family Enterobacteriaceae or...
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Emphysematous Cystitis Combined with Prostatic Abscess and Hematogenous Spread of Infection to the Lung and Liver in a Diabetic Patient

Lee J, Rhee H, Kim IY, Seong EY, Lee DW, Lee SB, Kwak IS, Song SH

Coexistence of emphysematous cystitis and prostatic abscess are rare occurrences. Here, we report a case of emphysematous cystitis and prostatic abscess in a 65-year-old man with a 5-year history of...
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Emphysematous Osteomyelitis due to Escherichia coli

Lee J, Jeong CH, Lee MH, Jeong EG, Kim YJ, Kim SI, Kim YR

Emphysematous osteomyelitis, especially that involving the extra-axial skeleton, is an extremely rare presentation but associated with significant morbidity and mortality. Here, we report a case in which a 58-year-old female...
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Asymptomatic Emphysematous Pyelonephritis Incidentally Detected with Computed Tomography in a Diabetic Hemodialysis Patient

Kim JH, Kim WJ, Kim IS, Kang HJ, Won YD, Kim YO

Emphysematous pyelonephritis (EPN) is a necrotizing infection of the kidney with gas formation that can be fatal if it is not detected and treated promptly. Typical manifestations are high fever,...
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Emphysematous Gastritis with Concomitant Portal Venous Air and Acute Necrotizing Esophagitis in Type 1 Diabetes with Diabetic Ketoacidosis: A Case Report and Literature Review of a Rare Complication in Diabetes

Oh H, Lee H, Chang KS, Park JH, Hong SM, Lee HL, Lee CB, Park Y, Kim D, Choi WH, Chung WS, Ahn YH

Emphysematous gastritis is a rare disorder characterized by emphysematous change of the gastric wall due to infection with a gas-forming organism. Acute necrotizing esophagitis is a rare disorder with an...
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A Case of Incidentally Detected Asymptomatic Emphysematous Pyelonephritis

Lee HJ, Shin SB, Go SE, Seo JH, Han DJ, Cho HJ, Kim YO

Emphysematous pyelonephritis (EPN) is a severe gas-forming infection of the renal parenchyma and surrounding tissues. Patients with EPN commonly present with high fever, chills, and flank pain. These symptoms mimic...
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Emphysematous Pyelonephritis: A Rare Life-Threatening Complication after Extracorporeal Shock Wave Lithotripsy

Kim SH, Chung DJ, Yeo DM, Sonh DW, Hahn ST

Emphysematous pyelonephritis (EPN), caused by extracorporeal shock wave lithotripsy (ESWL), has not been reported in the literature; and the mechanism of this disease is unknown. Although many studies have conjectured...
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Emphysematous Pyelonephritis Caused by Citrobacter freundii in a Patient with Type 2 Diabetes and Neurogenic Bladder

Kim MJ, Park JS, Lim HJ, Jung J, Shin DG, Lee KD, Jung YY, Min KW, Han KA

Emphysematous pyelonephritis (EPN) is a rare, life-threatening complication of upper urinary tract infections that is characterized by the presence of gas in the renal parenchyma and perirenal space. It commonly...
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Successfully Treated Escherichia coli-Induced Emphysematous Cyst Infection with Combination of Intravenous Antibiotics and Intracystic Antibiotics Irrigation in a Patient with Autosomal Dominant Polycystic Kidney Disease

Kim H, Cho Park H, Lee S, Lee J, Cho C, Kim DK, Hwang YH, Oh KH, Ahn C

A 62-yr-old woman with an autosomal dominant polycystic kidney disease (ADPKD) was admitted to our hospital for further evaluation of intermittent fever, nausea and left flank discomfort. The computed tomography...
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A Case of Acute Emphysematous Gastritis Associated with Invasive Aspergillosis

Park JP, Bae SS, Baek IY, Kim HS, Kim BS, Seo HE, Son KR, Kwon SH

Emphysematous gastritis is a subtype of phlegmonous gastritis characterized by emphysematous change of the gastric wall. It is associated with infection of gas forming organism and is often fatal because...
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A Case of Emphysematous Cholecystitis and Pneumobilia after Transarterial Chemoembolization for Hepatocellular Carcinoma

Choi GH, Yoon DL, Lee JK, Lee SH, Jin YJ, Park DH, Shim JH

  • KMID: 2264786
  • Korean J Med.
  • 2012 Dec;83(6):764-770.
Transarterial chemoembolization (TACE) is reportedly a useful palliative treatment in patients with unresectable or recurred hepatocellular carcinoma. Post-TACE complications are common; however, acute cholecystitis after TACE is rare. We herein...
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A Case of Gastric Emphysema in Anorexia Nervosa Presenting as Acute Gastric Distension

Kim T, Kim HU, Song HJ

Gas within the gastric wall is an alarming finding and a rare condition. Clinically, this condition is divided into two entities; Gastric emphysema and emphysematous gastritis. These two diseases should...
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Clinical Feature and Prognostic Factors of Emphysematous Pyelonephritis

Yang WS, Kim WY, Sohn CH, Seo DW, Lee JH, Kim W, Lim KS

BACKGROUND: Emphysematous pyelonephritis (EPN) is a rare and potentially life-threatening condition that requires prompt evaluation and management. However, its clinical presentation and outcomes vary widely. This study was conducted to...
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Imaging Features of Gastric Invasive Aspergillosis: A Report of Two Cases

Yang D, Cho SH, Kim SH, Shin JY, Lee YG

Invasive aspergillosis is an opportunistic infection that usually occurs in immunocompromised patients. Although there are a few rare reports of isolated invasive aspergillosis affecting the small intestine, isolated or disseminated...
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Diabetic Ketoacidosis Associated with Emphysematous Gastritis: A Case Report

Choi YM, Seo JW, Lee WJ, Park HJ, Shin JH, Kang SB, Lee J, Kim JH, Kim SY, Bae HY

Diabetic ketoacidosis is a serious and demanding medical emergency for the field of endocrinology, and the identification and correction of the precipitating factors is equally important. Many patients of diabetic...
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A Case of Emphysematous Pyelonephritis Associated with Emphysematous Ureteritis and Cystitis

Choi I, Kang T, Kim H, Oh S, Cho S, Lee S, Ryu S

  • KMID: 2332995
  • J Korean Soc Emerg Med.
  • 2011 Oct;22(5):584-587.
Emphysematous pyelonephritis (EPN) is a necrotizing infection of the renal parenchyma and its surrounding tissues that results in the accumulation of gas in the renal parenchyma, collecting system or perinephric...
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A Case of Emphysematous Gastritis in a Patient with End-stage Renal Disease

Ko GJ, Park KS, Park TW, Woo MY, Han KJ, Lee SC, Cho JH

Emphysematous gastritis is a rare infection of the stomach wall with high mortality rate. It is caused by gas forming organisms and may arise by local spread through the mucosa...
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A Case of Necrotizing Fasciitis and Severe Sepsis Complicated by Emphysematous Gastritis

Gweon TG, Shin AY, Bae SH, Lee JM, Lee SN, Jung MH, Ju YB, Kim TH, Park IJ, Yoo JH

We report a case of necrotizing fasciitis and severe sepsis complicated by emphysematous gastritis. The patient initially presented with sepsis due to extensive necrotizing fasciitis. Although he recovered from severe...
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A case of emphysematous empyema and pneumomediastinum associated with emphysematous pyelonephritis

Kim YG, Lee TW, Ihm CG, Lee SH, Jeong KH, Moon JY

  • KMID: 2259191
  • Korean J Med.
  • 2010 Mar;78(3):381-385.
Emphysematous pyelonephritis (EPN) is a necrotizing infection characterized by the accumulation of gas in the renal parenchyma and surrounding tissues. Although there have been a few cases of EPN accompanied...
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