Spontaneous perinephric hemorrhage (Wunderlich syndrome) secondary to polyarteritis nodosa: Computed tomography and angiographic findings

Venkatramani, Vivek; Banerji, John S.

doi:10.4103/0970-1591.139585

Cited by 4 publications

(6 citation statements)

References 6 publications

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“…In 1908, Schmidt4 first described perirenal haematoma by ruptured of microaneurysm in PAN. In a meta-analysis, only five cases of perirenal haematoma due to PAN has been described 1 5 6…”

Section: Discussionmentioning

confidence: 99%

“…Few cases need conservative drainage and sometimes selective arterial embolisation is also necessary in cases of active bleeding. However, reduction or resolution of aneurysm is also possible, due to resolution of inflammation of vessels wall 1 7…”

Section: Discussionmentioning

confidence: 99%

“…Among various presentations, spontaneous perinephric haematoma (SPH) is a rare, as well as, catastrophic presentation. Moreover, splenic haematoma is also an infrequent complication of PAN 1 2. A young man suffered a lot for a long time, because the diagnosis was missed in each presentation due to mimicking with other illness.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous bilateral perirenal and splenic haematoma in childhood onset polyarteritis nodosa

Shumy

Anam²,

Chowdhury

2018

BMJ Case Reports

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Spontaneous bilateral perirenal haematoma, as well as splenic haematoma, are rare occasions in polyarteritis nodosa (PAN). We report a case of a young man, who suffered from various typical and atypical manifestations of PAN since childhood. The diagnosis was delayed due to symptoms mimicking with other clinical conditions. Finally, the diagnosis was confirmed when presented with perirenal and splenic haematoma and was managed successfully.

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“…In 1908, Schmidt4 first described perirenal haematoma by ruptured of microaneurysm in PAN. In a meta-analysis, only five cases of perirenal haematoma due to PAN has been described 1 5 6…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous bilateral perirenal and splenic haematoma in childhood onset polyarteritis nodosa

Shumy

Anam²,

Chowdhury

2018

BMJ Case Reports

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“…Patients may rarely be complicated by aneurismal rupture leading to subcapsular and perirenal hematomas [20,21]. Spontaneous retroperitoneal hemorrhage (also known as Wunderlich syndrome, WS) is a potentially life-threatening entity, scarcely reported in the literature [22,23]. It is classically characterized by acute flank pain, abdominal tenderness, and signs of massive internal bleeding.…”

Section: Polyarteritis Nodosa (Pan)mentioning

confidence: 99%

Urological Manifestations of the Systemic Vasculitides—A Scoping Review

Nowak

Krajewski

Krajewska

et al. 2021

Uro

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Background: Vasculitides are specific inflammations of the blood vessel wall that can take place in any organ system of the human body. They may occur as a primary process (primary systemic vasculitides, PSV) or may be secondary to another underlying disease. In general, in association with the specific type of vasculitis, affected vessels vary in size, type, and location. In the following scoping review, we present clinical characteristics and manifestations of PSV with reference to the genitourinary system. Materials and methods: A non-systematic search of the relevant literature was conducted using three electronic databases (PubMed, Embase, and Web of Science) up to 29 October 2021. Results: Urogenital manifestations of PSV are infrequent, with the most commonly reported findings as prostatic or testicular involvements. However, almost all other organs of the genitourinary system can be affected. Conclusions: Because of the clinical heterogeneity and non-specific symptoms, the proper diagnosis of PSV is often delayed and constricted. Fast identification of urological manifestations of vasculitides is essential in implementing appropriate therapy and avoiding unnecessary, harmful, and invasive surgery.

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“…Similar cases have also been reported from Chandigarh and Vellore. 12,13 The other large Indian series (available as an abstract) is from Postgraduate Institute, Chandigarh where the authors retrospectively studied 24 patients (16 male, 8 female) diagnosed to have PAN based on the ACR criteria and CHCC nomenclature. 14 Neurological involvement was the commonest feature seen in as many as 22 (91.7%) patients with mononeuritis multiplex being the most frequent (83.3%).…”

Section: Pan In Indiamentioning

confidence: 99%

Polyarteritis nodosa and microscopic polyangiitis – The Indian experience

Handa¹

2015

Indian Journal of Rheumatology

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Spontaneous perinephric hemorrhage (Wunderlich syndrome) secondary to polyarteritis nodosa: Computed tomography and angiographic findings

Cited by 4 publications

References 6 publications

Spontaneous bilateral perirenal and splenic haematoma in childhood onset polyarteritis nodosa

Spontaneous bilateral perirenal and splenic haematoma in childhood onset polyarteritis nodosa

Urological Manifestations of the Systemic Vasculitides—A Scoping Review

Polyarteritis nodosa and microscopic polyangiitis – The Indian experience

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