Emphysematous pyelonephritis is a life‐threatening, rapidly progressive necrotizing infection, characterized by the presence of gas in the affected tissues. Following a rare emphysematous pyelonephritis case which involved gas in the kidney and inferior vena cava vessels, we aimed to review the literature related to diagnosis and treatment. The extension of gas into adjacent vascular structures, though rare, may represent a more fulminant diseases state and warrants particular clinical attention. This case highlights the importance of timely diagnosis and intervention in emphysematous pyelonephritis.
Greenberg et al. (2026) studied this question.