Wunderlich syndrome secondary to renal artery angioplasty: A case report

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Karen Kallás Pinto
João Marco Braz Scarpa Mariano Pereira
Otavio Cabral Coelho
Rodrigo Duarte Berdun Silva
Andrei Ricardo Rodrigues Guedes Ricardo Rodrigues Guedes
Ana Clara Liz da Silva Cunha
Alcedir Raiser Lima Raiser Lima

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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How to Cite
Kallás Pinto, K., Braz Scarpa Mariano Pereira, J. M., Cabral Coelho, O., Duarte Berdun Silva, R., Ricardo Rodrigues Guedes, A. R. R. G., Liz da Silva Cunha, A. C., & Raiser Lima, A. R. L. (2024). Wunderlich syndrome secondary to renal artery angioplasty: A case report. Annals of Innovation in Medicine, 2(4). https://doi.org/10.59652/aim.v2i4.290
Section
Case Studies

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. DOI: https://doi.org/10.1093/jscr/rjs015

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. DOI: https://doi.org/10.1053/crad.2002.0981

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. DOI: https://doi.org/10.4103/0974-2700.55346

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. DOI: https://doi.org/10.1016/S0022-5347(05)65160-9

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