A Case of Spontaneous Renal Haemorrhage (Wunderlich Syndrome) in an Anticoagulated Patient

European Journal of Case Reports in Internal Medicine

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