Wunderlich syndrome (spontaneous renal hematoma) as a cause of acute abdomen: a case report

Abstract

Spontaneous renal hemorrhage, also known as Wünderlich syndrome, is a rare condition that can be life-threatening and consists of the onset of sudden hemorrhage into the subcapsular and perirenal spaces. It can be lethal as it goes unnoticed and requires aggressive treatment. The entity lies mainly in neoplasms, the malignant ones being the most common. We present the case of a 63-year-old female patient with acute abdomen clinic, a diagnostic laparoscopy was performed and renal hematoma was evidenced as the cause of the symptoms. It was managed conservatively without any complications. We emphasize the importance of keeping in mind Wünderlich syndrome as a differential diagnosis to instigate early treatment for a better outcome.

Wunderlich Syndrome: Spontaneous Cystic Rupture on Account of Acquired Kidney Atrophy

“…Rupture of renal cysts such as in polycystic kidney diseases, infections, nephrolithiasis, and coagulopathies have also been reported as etiological factors. Contrast-enhanced computed tomography (CT) is the gold standard for an initial diagnosis [ 1 , 2 ]. The optimal treatment modality is determined by the underlying pathology and the subsequent hemodynamic state.…”