Gossypiboma Following Emergency Nephrectomy for Wunderlich Syndrome

Gossypiboma of renal compartment: A case report

“…The imaging findings of a retained surgical sponge in an asymptomatic 61-year-old man by a follow-up computed tomography performed 4 months after the emergency surgery was reported. [ 6 ]. An insidious progression is possible and the disease is discovered years later accidentally or in a “tumor syndrome” [ [3] , [4] , [5] , [6] , [7] ].…”

“…[ 6 ]. An insidious progression is possible and the disease is discovered years later accidentally or in a “tumor syndrome” [ [3] , [4] , [5] , [6] , [7] ]. The duration of evolution of the symptoms and the causal intervention are variable.…”

Nontraumatic spontaneous bilateral renal hemorrhages (Wünderlich syndrome) with chronic infection of Chlamydia pneumoniae: A case report

“…Spontaneous nontraumatic renal hemorrhage was rst documented in the literature by Bonet in 1700 as a rare disease, although it was again reported as Wünderlich syndrome by a German doctor in 1856. [1][2][3][4][5][6][7][8][9][10][11][12][13] Spontaneous bilateral renal hemorrhage is extremely rare because it is unlikely to occur in the absence of anticoagulant or antiplatelet intake when it occurred consecutively not simultaneously. 14 In our case, the rst event of the renal hemorrhage occurred when the patient took clopidogrel (oral antiplatelet) daily, and the second event of renal hemorrhage occurred only 15 days after the rst hospital discharge.…”

“…Most cases were caused by vascular proliferative tumors, such as renal cell carcinoma or angiomyolipoma (57-73%) or choriocarcinoma, followed by autoimmune vasculitis including polyarteritis nodosa (PAN) or segmental arterial mediolysis. [1][2][3][4][5][6][7] In particular, spontaneous bilateral renal hemorrhages accounted for only 3% of all case reports on spontaneous renal hemorrhage, and all cases were PAN. 14 Phillips et al reported that BehÇet's disease and segmental arterial mediolysis may cause spontaneous renal hemorrhage.…”

“…The underlying primary diseases that cause secondary renal hemorrhage include malignant tumor, vasculitis, and infection. [1][2][3][4][5][6] In this report, we presented our experience on an extremely rare case of bilateral renal hemorrhage that occurred twice consecutively in a short span of time.…”