Wunderlich syndrome – report of a rare case with comments on clinical implications

Karolina Krowiak
Anita Krowiak
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Sebastian Rajda
Artur Palak
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Krzysztof Balawender
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Student’s Anatomical Scientific Club, Institute of Medical Sciences, College of Medical Sciences, University of Rzeszow, Rzeszow, Poland
Student’s Anatomical Scientific Club, Institute of Medical Sciences, College of Medical Sciences, University of Rzeszow, Rzeszow, Poland
Frederic Chopin University Clinical Hospital, Rzeszow, Poland
Frederic Chopin University Clinical Hospital, Rzeszow, Poland
Department of Normal and Clinical Anatomy, Institute of Medical Sciences, College of Medical Sciences, University of Rzeszow, Rzeszow, Poland
Received: 28 April 2024 / Revised: 10 May 2024 / Accepted: 21 May 2024 / Published: 30 September 2024

Abstract

Introduction and aim. Spontaneous renal hemorrhage, known as Wunderlich syndrome, is a rare clinical condition that occurs without any history of trauma. The most common causes of this syndrome are both benign and malignant renal tumors. The treatment strategy is determined based on the patient’s hemodynamic stability.

Description of the case. We report a case where a patient was admitted to the emergency department experiencing persistent pain in the right flank for three days. A diagnosis of spontaneous renal hemorrhage, secondary to an angiomyolipoma, was established through CT imaging. In this case study, we detail the diagnostic process and management of a patient who, due to the absence of hemodynamic instability, did not require surgical intervention. Instead, the patient was monitored and managed with conservative treatment.

Conclusion. This case highlights the importance of prompt diagnosis, implementation of appropriate treatment, and the relevance of active follow-up in hemodynamically stable patients receiving conservative treatment.

 

Cite 

Krowiak K, Krowiak A, Rajda S, Palak A, Balawender K. Wunderlich syndrome – report of a rare case with comments on clinical implications. Eur J Clin Exp Med. 2024;22(3):682–686. doi: 10.15584/ejcem.2024.3.14

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