Tabriz University of Medical Sciences Medical Journal of Tabriz University of Medical Sciences 2783-2031 34 1 2012 06 12 Emphysematous Pyelonephritis with Symptoms of Inguinal Hernia: Report of Two Cases and Review of Disease 114 116 EN Fahimeh Kazemi Rashid Elham Eslami Journal Article 2012 06 12 Emphysematous pyelonephritis is a gaseous necrotizing renal infection with high mortality and morbidity. In most of the cases, patients have the history of diabetes mellitus. The disease usually presents with pyelonephritis unresponsive to treatment and is diagnosed with CT scan. Treatment usually requires surgery and antibiotics. In rare cases, patients have unusual presentation of the disease. Here, we report two patients with inguinal hernia symptoms and emphysematous pyelonephritis.