Wunderlich syndrome in a patient on hemodialysis

Bilateral renal hemorrhage in an anticoagulated patient: A rare case of Wunderlich syndrome

“…Therapeutic options include conservative management with angiotensin receptor blockades, early volume resuscitation with intravenous fluids, and blood transfusion [ 3 , 5 ]. When imaging detects active extravasation, the preferred approach is angiography and embolization, while partial or radical nephrectomy is reserved for neoplastic causes or refractory bleeding [ 2 , 9 ]. Since in the reported case the patient was taking anticoagulant medication, conservative treatment was considered the most appropriate and turned out to be an effective and optimal action strategy.…”