Wunderlich syndrome secondary to renal artery angioplasty: A case report
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Abstract
Wunderlich syndrome is an uncommon pathology that is characterized by spontaneous hemorrhage in the subcapsular and perirenal spaces. We present the case of a 76-year-old woman who developed abdominal pain associated with hypotension after undergoing percutaneous transluminal angioplasty (PTA), with stenting in the right renal artery by means of puncture of the left brachial artery. An extensive retroperitoneal hematoma was identified on emission tomography in the topography of the right kidney, thus corroborating the diagnostic hypothesis of the aforementioned syndrome. As an outcome of the case, a surgical reapproach was required to drain a hematoma and hemostatic suture to resolve the condition.
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References
Wang BH, Pureza V, Wang H. A tale of Wunderlich syndrome. J Surg Case Rep. 2012 Dec 4;2012(11):rjs015. doi: 10.1093/jscr/rjs015. PMID: 24968401; PMCID: PMC3855280.
Phillips CK, Lepor H. Spontaneous retroperitoneal hemorrhage caused by segmental arterial mediolysis. Rev Urol. 2006 Winter;8(1):36-40. PMID: 16985559; PMCID: PMC1471764.
Albi G, del Campo L, Tagarro D. Wunderlich's syndrome: causes, diagnosis and radiological management. Clin Radiol. 2002 Sep;57(9):840-5. PMID: 12384111.
Medda M, Picozzi SC, Bozzini G, Carmignani L. Wunderlich 's syndrome and hemorrhagic shock. J Emerg Trauma Shock. 2009 Sep;2(3):203-5. doi: 10.4103/0974-2700.55346. PMID: 20009313; PMCID: PMC2776371.
Wunderlich CR. Handbuch der Pathologie und Therapie. 2nd ed. Stuttgart: Ebner and Seubert; 1856.
Zhang JQ, Fielding JR, Zou KH. Etiology of spontaneous perirenal hemorrhage: a meta-analysis. J Urol. 2002 Apr;167(4):1593-6. doi: 10.1097/00005392-200204000-00006. PMID: 11912370.