Wünderlich's Syndrome: Causes, Diagnosis and Radiological Management

Albi, Gustavo; Campo, L. Del; Tagarro, D

doi:10.1053/crad.2002.0981

Cited by 104 publications

(104 citation statements)

References 9 publications

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“…Spontaneous bleeding confined to the subcapsular and perinephric area was initially described by Wunderlich in 1856 (4). The classic triad of symptoms is as follows: acute flank pain, palpable mass, and general deterioration of vital signs (5). There are a wide range of etiologies such as renal tumors, vascular lesions such as polyarteritis nodosa, renal infections, cysts, hematological conditions and hypertension, but the most common cause among them in most series, similarly to our case, is angiomyolipoma (6).…”

mentioning

confidence: 53%

A Rare Cause of Acute Abdomen Due to Hemorrhage of Renal Mass: Wunderlich Syndrome

Özdamarlar¹,

Ayaz²,

Küçükodacı³

et al. 2017

J Emerg Med Case Rep

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Renal angiomyolipomas are rare benign lesions of the kidney with an incidence between 0.1% and 0.22% (1). They are composed of abnormal vasculature, smooth muscle, and adipose tissue. They are more likely to be symptomatic if they are larger than 4 cm, and present a history of flank pain, a palpable mass, and rarely haematuria. Also, they are most frequent etiology of Wunderlich syndrome, which is an emergency medical condition that refers to spontaneous nontraumatic bleeding confined to the perinephric space (2). Although benign, their rich neovascularization has a tendency for spontaneous rupture with consequent hemorrhage, which in some cases can be life threatening. Significant perinephric hemorrhage may occur in approximately 10% of patients with angiomyolipoma (3). This complication is related to the size of the tumor, the grade of the angiogenic component of the tumor, and the presence of tuberous. Herein, we present a catastrophic case of Wunderlich syndrome whose vital signs abruptly worsened, went into hypovolemic shock and required an urgent surgical approach.

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mentioning

confidence: 53%

A Rare Cause of Acute Abdomen Due to Hemorrhage of Renal Mass: Wunderlich Syndrome

Özdamarlar¹,

Ayaz²,

Küçükodacı³

et al. 2017

J Emerg Med Case Rep

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“…Wünderlich syndrome, defi ned as spontaneous, non-traumatic renal haemorrhage into the subcapsular space, is a rare entity that was fi rst reported in 1856 (1) and can only be found in small case series in the literature. (2,3) Patients classically present with the Lenk's triad of fl ank pain, palpable mass and hypovolaemic shock.…”

Section: Discussionmentioning

confidence: 99%

Clinics in diagnostic imaging (178)

Chung

Chawla

Peh

2017

smedj

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A 64-year-old woman with end-stage renal failure secondary to diabetic nephropathy was referred to the emergency department from the dialysis unit following intradialytic hypotension and giddiness. On further questioning, she described a four-day history of dull, non-radiating left fl ank pain. There was no history of trauma or iatrogenic injury such as renal biopsy.On examination, the patient had a palpable left fl ank mass. Admission laboratory serum tests revealed profound anaemia:

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“…Phenotypic manifestations of this mutation are, among others, Cowden syndrome and Bannayan-RileyRuvalcaba syndrome. [7] Cowden syndrome shows autosomal dominant inheritance. It is characterized by hamartomas in a variety of tissues, as well as characteristic dermatologic manifestations, which include trichelemmomas, oral fibromas, and punctate palmoplantar keratosis.…”

Section: Discussionmentioning

confidence: 99%

Robotic-assisted laparoscopic partial cystectomy for symptomatic urachal hamartoma

Shepler

Zuckerman

Troyer

et al. 2016

Turkish Journal of Urology

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We report a case of an urachal hamartoma in a 30-year-old African American woman. The urachal lesion was excised with a robotic-assisted laparoscopic partial cystectomy. Pathologic analysis revealed cysts, smooth muscle, and ciliated epithelium consistent with a hamartoma. The patient recovered without complication. This case highlights an unusual pathology that is infrequently reported following urachal remnant excision.

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Wünderlich's Syndrome: Causes, Diagnosis and Radiological Management

Cited by 104 publications

References 9 publications

A Rare Cause of Acute Abdomen Due to Hemorrhage of Renal Mass: Wunderlich Syndrome

A Rare Cause of Acute Abdomen Due to Hemorrhage of Renal Mass: Wunderlich Syndrome

Clinics in diagnostic imaging (178)

Robotic-assisted laparoscopic partial cystectomy for symptomatic urachal hamartoma

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