Spontaneous Perinephric Haemorrhage (Wunderlich Syndrome) Secondary to Upper Pole Renal Angiomyolipoma: A Rare Life Threatening Situation: Case Report and Discussion
Journal Title: Journal of Clinical & Medical Case Reports - Year 2015, Vol 2, Issue 1
Abstract
Wunderlich Syndrome is a rare condition in which spontaneous renal haemorrhage occurs into the subcapsular and perirenal spaces in absence of trauma. It can present as a life threatening situation with profound shock which demands urgent attention. Though angiomyolipoma of the kidney is the most common neoplasm associated with spontaneous renal haemorrhage, varied presentation and lack of suspicion often pose a challenge when arriving at the diagnosis. The key in management of a case of Wunderlich Syndrome is high index of suspicion, prompt resuscitative measures, focussed investigations, identifying the underlying cause, embolisation and/or surgery. However, diagnostic difficulties often lead to faultydiagnosisand under reporting of the Wunderlich Syndrome.
Authors and Affiliations
Sarveswaran V
Early-Infantile Galactosialidosis: Clinical and Radiological Findings
Galactosialidosis is a rare lysosomal storage disorder. Very few reports of the early-infantile (EIGS) form can be found in the literature. This form typically presents with prenatal non-immune fetal hydrops associated w...
Clearance of Quadriceps Muscle Haematoma with Dobesilate
Muscle injuries are one of the most common traumas occurring in sports, often accompanied with haemorrhage. The standard of care for patients with acute intramuscular haemorrhages associated with skeletal muscle injuries...
Auto-Brewery as an Emerging Syndrome: Three Representative Case Studies
Auto-Brewery or Gut Fermentation Syndrome, also known as intestinal candidiasis, is a very rare phenomenon heretofore unstudied and underreported. Since the most recent case study of a man in Texas with the syndrome was...
Ehlers-Danlos Syndrome and Skin Grafting
Ehlers-Danlos syndrome is a heritable connective tissue disorder with an estimated prevalence of one in 10,000 to 25,000 persons [1]. Using clinical phenotype, biochemical and molecular defects, as well as inheritance pa...
Bisphosphonate-Induced Osteonecrosis of the External Auditory Canal: A Case Report
Objective: Worldwide millions of patients are treated with bisphosphonates (BPs) for osteoporosis and cancer-associated bone diseases. In recent years rare side effects as osteonecrosis of the jaw and atypical femur frac...