Spontaneous perirenal hemorrhage (Wunderlich syndrome): An analysis of 28 cases

The American Journal of Emergency Medicine
Jong Wook KimHong Seok Park

Abstract

This study aimed to analyze the characteristics, etiology, and treatment of a series of patients with spontaneous perirenal hemorrhage (Wunderlich syndrome [WS]). We retrospectively reviewed the records of 26 patients hospitalized for WS in a tertiary urological center between 2011 and 2018. All patients were evaluated for perirenal hemorrhage observed on computed tomography (CT) in the emergency department. Clinical variables (age, underlying diseases, symptoms, shock, and hospitalization period), laboratory test results, and radiological and pathological results were reviewed. The series included 28 events from 26 patients with a mean follow-up period of 20.2 ± 18.0 months. Flank pain was most common symptoms (92%). Twelve patients (46%) had visible renal lesions and associated hematoma and 14 only showed perirenal hematoma. In six patients with shock (systolic blood pressure < 90 mm Hg), 2 underwent emergency angioembolization. Twelve patients (46%) underwent exploration and total nephrectomy. In the final diagnosis, 4 cases of renal cell carcinoma, 3 of angiomyolipoma, 4 of simple renal cyst, 2 of acquired cystic kidney disease, 4 of sarcoma or other malignancy, 4 of chronic pyelonephritis, and 5 of idiopathic WS were obser...Continue Reading

Citations

Aug 8, 2019·Revista da Associação Médica Brasileira·Selahattin ÇalışkanMetin İshak Öztürk
Jan 24, 2021·Current Problems in Diagnostic Radiology·Nishita ParmarSowmya Mahalingam
Mar 21, 2021·The American Journal of Emergency Medicine·Jocelyn YoungWilliam Bianchi
Apr 28, 2021·Annals of Emergency Medicine·Mervin Y Q TanWei F Lee
Apr 24, 2021·Journal of Community Hospital Internal Medicine Perspectives·Neeraja SwaminathanZurab Azmaiparashvili
Jul 20, 2021·Curēus·Olivia AntonescuJames Spain
Jul 14, 2021·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Xiangyu DuXiaojuan Shao

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