Wunderlich Syndrome during antiplatelet drug therapy

Wang

International Journal of Neuroscience

et al. 2013

Due to the hidden hemorrhage and a lack of specificity in its manifestations, perirenal hemorrhage as a complication of interventional radiology procedures is not always diagnosed in a timely manner; furthermore, the cause of hemorrhage is often misidentified or uncertain. In this report, two cases of elderly male patients who each had a perirenal hemorrhage on the same side after an interventional radiology operation against head and neck vessels by the same operator on the same day are described. This study demonstrated that the perirenal hemorrhages in both patients were related to the interventional radiology operations, providing a reminder that operating gently and always keeping the guide wire in sight during the insertion are critical for reducing the incidence rate of perirenal hemorrhage.

Section: Discussionmentioning

confidence: 91%

“…Spontaneous perirenal hemorrhage refers to the clinical syndrome of nontraumatic, acute hemorrhage underneath the renal capsule and/or perirenal space (also called retroperitoneal hemorrhage [4,5] or Wunderlich syndrome [7,8]). Common causes include kidney tumors and nodular polyarteritis [8,9].…”

Section: Discussionmentioning

confidence: 99%

Perirenal hemorrhage secondary to interventional radiology operation against head and neck vessels: two cases report and review of the literature

Wang

International Journal of Neuroscience

et al. 2013

“…[13] This condition might be accountable to antiplatelet drug therapy also. [14] Cozzoli et al . have reported this condition even during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous subcapsular renal hematoma: A case report and review of literature

Baishya¹,

Dhawan²,

Sabnis³

et al. 2011

Urol Ann

Spontaneous subcapsular renal hematoma is not a common entity. We report a 38-year-old lady presenting with sudden onset right flank pain with uncontrolled hypertension and she was found to have subcapsular collection in the right kidney on ultrasonography. Finding was confirmed on computed tomography. Except hypertension, no particular cause for the condition could be found. Symptoms and size of the collection decreased on conservative treatment. They completely disappeared on ultrasonography at 6 months follow-up. She was asymptomatic at 18 months follow-up.

Annals of Medicine &Amp; Surgery

“…Nontraumatic or spontaneous causes of Page kidney are uncommon with isolated cases reported in the literature. These include spontaneous renal hemorrhage secondary to underlying tumors, arteriovenous malformations, cyst rupture, glomerulonephritis, antiplatelet therapy, or vasculitis 5 , 6 . In some cases, Page kidney may be idiopathic 4 , 7 .…”

Section: Introductionmentioning

confidence: 99%

“…Majority of cases are unilateral. Rarely, spontaneous bilateral Page kidney has been described due to metastasis of choriocarcinoma, antiplatelet drug therapy, and even during pregnancy 6 , 8 .…”

Section: Introductionmentioning

confidence: 99%

Bilateral Page kidney in a postpartum female: a case report

Regmi

Shrestha²,

Poddar³

et al. 2023

Introduction and Importance: Page kidney results from external compression of the kidney by a subcapsular hematoma and is one of the rare but treatable causes of secondary hypertension. The majority are traumatic or iatrogenic and often unilateral. Spontaneous bilateral Page kidney is rare. Case Presentation: A 35-year P1 with gestational hypertension presented with a persistent postpartum elevation of blood pressure (BP). Imaging studies revealed bilateral renal subcapsular hematoma (left>right). She was managed with an angiotensin receptor blocker initially and ultrasound-guided percutaneous drainage of the collection for the optimal control of elevated BP. Clinical Discussion: Ultrasonography and computed tomography of the kidneys are the most frequently used for diagnosing a Page kidney. Medical management with antihypertensive and regular follow-ups form the first line of treatment in Page kidneys. Percutaneous drainage, surgical decortication, laparoscopic intervention, and nephrectomy are necessary in cases of organized late hematomas. Conclusion: Spontaneous bilateral Page kidney is a rare but potentially treatable and curable form of hypertension. Percutaneous drainage is an effective method to drain the hematoma and control elevated BP.