A tale of Wunderlich syndrome

• DOI: 10.1093/jscr/rjs015
• Publication Date: 2012-12-05T19:04:19Z
• Authors: B. H. Wang; V. Pureza; H. Wang
• Keywords: Flank pain; Etiology; Retroperitoneal space; Extravasation

Wunderlich syndrome is a rare entity characterized by acute onset of spontaneous, non-traumatic renal hemorrhage into the subcapsular and perirenal spaces. It can be fatal if not promptly recognized clinically treated aggressively. We report case 63-year-old Caucasian female who was presented to emergency department with sharp abdominal right flank pain, hypotension. An urgent pelvic computed tomography scan contrast demonstrated large (13 × 12 8.5 cm) perinephric hematoma unknown etiology. The patient subsequently underwent angiogram that active extravasation superior artery. She successful embolization procedure responded well fluid resuscitation. remained hemodynamically stable discharged home without further events.