European Journal of Case Reports in Internal Medicine | |
A Case of Spontaneous Renal Haemorrhage (Wunderlich Syndrome) in an Anticoagulated Patient | |
Erika Poggiali1  Piervito Zocchi1  Manuela Giovini2  MarioBarbera2  ElioAntonucci2  Esterina Bianchi3  | |
[1] Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy;Intermediate Care Unit, Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy;Radiology Unit, Guglielmo da Saliceto Hospital, Piacenza, Italy; | |
关键词: spontaneous renal haemorrhage; renal haematoma; wunderlich syndrome; anticoagulation; flank pain; contrast-enhanced computed tomography; | |
DOI : 10.12890/2022_003269 | |
来源: DOAJ |
【 摘 要 】
Spontaneous renal haemorrhage is a rare but severe condition known as Wunderlich syndrome (WS). The classic presentation includes sudden-onset flank pain, a palpable flank mass and hypovolaemic shock (Lenk’s triad). WS can be due to neoplasms, vascular diseases, cystic rupture, coagulopathies and infections. A contrast-enhanced CT scan of the abdomen is mandatory for diagnosis. Surgery is reserved for haemodynamically unstable patients and those with neoplastic disease. We describe a case of WS in an anticoagulated patient with chronic atrial fibrillation, diabetes mellitus type 2 and hypertension, who developed acute renal failure and severe anaemia, that completely resolved with conservative treatment and discontinuation of anticoagulation therapy.
【 授权许可】
Unknown