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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2009, Number 2

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Rev Mex Urol 2009; 69 (2)

Wunderlich syndrome caused by small renal angiomyolipoma

Sánchez-Turati JG, Merayo-Chalico CE, Hernández-Castellanos VA, Saavedra-Briones DV, Adrade-Platas JD, Fernández-Carreño AJ, Carrasco-Casillas J, Estrada-Moscoso I, Estrada-Hernández MR, Morales-Montor JG, Pacheco-Gahbler C, Calderón-Ferro F
Full text How to cite this article

Language: Spanish
References: 7
Page: 75-78
PDF size: 231.26 Kb.


Key words:

Wunderlich syndrome, angiomyolipom.

ABSTRACT

Spontaneous perirenal or renal hemorrhage also known as Wunderlich Syndrome is a rare event that can be life-threatening. The case of a 33-year-old male patient is presented. The patient had a medical history of high blood pressure and he came to our service because of a sudden pain in the right flank. Other symptoms were paleness, tachycardia and low blood pressure. Complementary laboratory studies were carried out because renal angiomyolipoma was suspected. Radical nephrectomy was performed and histopathological diagnosis was renal angiomyolipoma. Management included stabilizing the patient in shock, laboratory study diagnostic protocol and radical nephrectomy with favorable progression. The medical literature was also reviewed.


REFERENCES

  1. Andrade PJD et al. Síndrome de Wünderlich. Rev Mex Urol 2005; 65(5):357-362.

  2. Oesterling JE, Fishman EK, Goldman SM, Marshall FF. The management of renal angiomyolipoma. J Urol 1986;135(6):1121-4.

  3. Zhang JQ, Fielding JR, Zou KH. Etiology of spontaneous perirenal hemorrhage: a meta-analysis. J Urol 2002;167(4):1593-6.

  4. Bissler JJ, Kingswood JC. Renal Angiomyolipomata. Kidney Int 2004;66(3):924-34.

  5. Pruijm MT, Falke TH, Peltenburg HG. Retroperitoneal bleeding caused by renal angiomyolipoma. Ned Tijdschr Geneeskd 2004;148(34):1691-4.

  6. Albi G, del Campo L, Tagarro D. Wünderlich´s syndrome: causes, diagnosis and radiological management. Clin Radiol 2002;57(9):840-5.

  7. Renshaw AA. Subclassification of renal cell neoplasms: an update for the practising pathologist. Histopatology 2002;41(4):283-300.




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Rev Mex Urol. 2009;69