Annals of emergency medicine
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Case Reports
Emphysematous pyelonephritis: an emergency indication for the plain abdominal radiograph.
We report the case of a 59-year-old diabetic woman with emphysematous pyelonephritis. The patient presented with nausea, vomiting, and right flank pain of three days duration. ⋯ Emphysematous pyelonephritis is rare and often fatal. Survival depends on early diagnosis and aggressive combined medical and surgical management.