Wunderlich syndrome (spontaneous renal hematoma) as a cause of acute abdomen: a case report

Authors

  • Militza Cerrillo Miranda Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico
  • Jose A. Pereyra Molina Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico http://orcid.org/0000-0002-0047-3882
  • Flavio Hernandez Gonzalez Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico
  • Carlos E. Vazquez Barrios Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico
  • Osvaldo I. Guevara Valmana Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico http://orcid.org/0000-0003-4329-3774
  • Jose A. Lara Becerra Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20210452

Keywords:

Spontaneous renal rupture, Subcapsular haematoma

Abstract

Spontaneous renal hemorrhage, also known as Wünderlich syndrome, is a rare condition that can be life-threatening and consists of the onset of sudden hemorrhage into the subcapsular and perirenal spaces. It can be lethal as it goes unnoticed and requires aggressive treatment. The entity lies mainly in neoplasms, the malignant ones being the most common. We present the case of a 63-year-old female patient with acute abdomen clinic, a diagnostic laparoscopy was performed and renal hematoma was evidenced as the cause of the symptoms. It was managed conservatively without any complications. We emphasize the importance of keeping in mind Wünderlich syndrome as a differential diagnosis to instigate early treatment for a better outcome.  

Author Biographies

Militza Cerrillo Miranda, Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico

Advanced Laparoscopy department

Jose A. Pereyra Molina, Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico

First year surgery resident

Flavio Hernandez Gonzalez, Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico

First year surgery resident

Carlos E. Vazquez Barrios, Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico

First year surgery resident

Osvaldo I. Guevara Valmana, Department of Surgery, Hospital General Regional 1 “Dr. Carlos Macgregor Sánchez Navarro Mexican Institute of Social Health, CDMX, Mexico

First year surgery resident

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Published

2021-01-29

How to Cite

Miranda, M. C., Pereyra Molina, J. A., Gonzalez, F. H., Vazquez Barrios, C. E., Valmana, O. I. G., & Lara Becerra, J. A. (2021). Wunderlich syndrome (spontaneous renal hematoma) as a cause of acute abdomen: a case report. International Journal of Research in Medical Sciences, 9(2), 611–613. https://doi.org/10.18203/2320-6012.ijrms20210452

Issue

Vol. 9 No. 2 (2021): February 2021

Section

Case Reports