Wunderlich Syndrome in a Patient with a Sole Kidney
DOI:
https://doi.org/10.54212/27068048.v11i2.152Keywords:
Wunderlinch Syndrome, Retroperitoneal hemorrhage, Solitary kidneyAbstract
INTRODUCTION: Wunderlich Syndrome or spontaneous retroperitoneal hemorrhage, confined to the perirenal or subcapsular space, described for the first time by Carl Reinhold August Wunderlich in 1856, is a rare entity of diverse etiology (1). Approximately 85% of cases are related to kidney tumors, mainly Angiomyolipomas (AML) and Renal Carcinoma(2). Other causes may be: pyelonephritis, renal cyst, renal aneurysms, vasculitis, among others (1). OBJECTIVE: Present the case of a 43-year-old female patient with a single kidney, who was diagnosed with spontaneous perirenal hemorrhage secondary to AML in our institution, since there is little reference information on the management of these lesions in patients with a single kidney. CONCLUSION: we can suggest conservative treatment in patients with retroperitoneal hemorrhage with hemodynamic stability.
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Hematoma renal espontáneo. Reporte de serie de casos... Garza-Montúfar M. E., et al.. Revista Mexicana de Urología ISSN: 2007-4085, Vol. 79, núm. 2, marzo-abril 2019: pp. 1-9. https://doi.org/10.48193/rmu.v79i2.479 DOI: https://doi.org/10.48193/rmu.v79i2.479
Ramirez-Limon DA, Gonzaga-Carlos N, Angulo-Lozano JC, Miranda-Symes O, Virgen-Gutierrez F. Wunderlich Syndrome Associated With Angiomyolipomas. Cureus. 2022 Apr 5;14(4):e23861. PMID: 35530872; PMCID: PMC9072293. https://doi.org/10.7759/cureus.23861 DOI: https://doi.org/10.7759/cureus.23861
Lenk R. Über Massenblutungen in das Nierenlager. Dtsch Z Für Chir. 1909;102(1):222-36. Available from: https://doi.org/10.1007/BF02799543 DOI: https://doi.org/10.1007/BF02799543
Ho TH, Yang FC, Cheng KC, Lin CC, Lee JT: Wunderlich syndrome, spontaneous ruptured renal angiomyolipoma and tuberous sclerosis. QJM. 2019, 112:283-4 https://doi.org/10.1093/qjmed/hcz004 DOI: https://doi.org/10.1093/qjmed/hcz004
Campbell - Walsh -Wein 2 Ed. Cap 96, Benign Renal Tumors
Ouzaid I, Autorino R, Fatica R, et al: Active surveillance for renal angiomyolipoma: outcomes and factors predictive of delayed intervention, BJU Int114(3):412-417, 2014 https://doi.org/10.1111/bju.12604 DOI: https://doi.org/10.1111/bju.12604
Etta PK, Rao MV. Life-threatening Wunderlich Syndrome in a Patient with Solitary Kidney Successfully Managed by Nephron-sparing Approach. Indian J Nephrol 2019; 29:298-9. https://doi.org/10.4103/ijn.IJN_257_18 DOI: https://doi.org/10.4103/ijn.IJN_257_18
Zagoria RJ, Dyer RB, Assimos DG, Scharling ES, Quinn SF. Spontaneous Perinephric Hemorrhage: Imaging and Management. J Urol. 1991;145(3):468-71. https://doi.org/10.1016/S0022-5347(17)38370-2 DOI: https://doi.org/10.1016/S0022-5347(17)38370-2
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