Abscess Drainage by a Retroperitoneoscopic Technique in Emphysematous Pyelonephritis Treatment

A 60-year-old man had experienced bilateral flank pain for two months. Bilateral hydronephrosis, bilateral kidney stones and a right distal ureteral stone were determined. He was diabetic. A JJ stent was placed into the right renal unit and emphysematous pyelonephritis consequently emerged one week later. Right renal abscess drainage was performed by laparoscopy. Based on computed tomography scans six weeks later, the abscess had completely disappeared. To our knowledge, this is the first report of an emphysematous pyelonephritis case being treated by performing laparoscopic drainage along with renal capsule incision. Laparoscopic drainage and renal capsule incision may be chosen as a minimally invasive procedure for select patients.