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Case Reports
. 2021 Oct 6;92(S1):e2021113.
doi: 10.23750/abm.v92iS1.11185.

Wunderlich syndrome: a rare case in a young woman

Maria Teresa Paparella  1 , Laura Eusebi  2 , Ilaria Gangai  3 , Francesco Bartelli  4 , Giuseppe Guglielmi  5
Affiliations
Case Reports

Wunderlich syndrome: a rare case in a young woman

Maria Teresa Paparella et al. Acta Biomed. .

Abstract

We report the case of a 29-year-old woman with Wunderlich syndrome, a rare spontaneous renal hemorrhage into the subcapsular and perinephric space. She presented to our emergency department with a sudden and persistent right flank pain in the abscence of abdominal injury. The onset of the symptoms can be insidious and lead to hypovolemic shock. Computed Tomography helps both in the diagnosis, detecting the renal hemorrhage, and contributes to an optimal patient management. Selective arterial embolisation is an efficient technique to stop acute and potential life-threatening hemorrhage and preserve the renal parenchyma.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article.

Figures

Figure 1.
Figure 1.
Abdominal ultrasonography which shows a hyperechoic mass in the right renal region
Figure 2.
Figure 2.
Contrast-enhanced abdominal CT scan in arterial phase with (A) axial and (B) coronal views which show a 6,3x5x8 cm mass that compressed laterally the right kidney characterized by hypervascularized and adipose areas with perirenal hematoma; free fluid in the lateroconal fascia and pelvic region is associated
Figure 3.
Figure 3.
Axial contrast-enhanced abdominal CT scan in portal phase which shows an active extravasation of contrast media (arrowed)
Figure 4.
Figure 4.
Follow-up axial contrast-enhanced abdominal CT scan which shows the hemorrhagic mass reduced in dimensions without signs of extravasation
See this image and copyright information in PMC

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