Endovascular management of Wunderlich syndrome
Wunderlich syndrome (WS) is a spontaneous, non-traumatic retroperitoneal haemorrhage confined to the subcapsular or perinephric spaces. Various neoplastic and non-neoplastic pathologies can cause this entity, renal angiomyolipoma being the most common. Early accurate diagnosis and timely interventio...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Journal of Clinical and Scientific Research |
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| Online Access: | https://journals.lww.com/10.4103/jcsr.jcsr_24_23 |
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| author | Phani Chakravarty Mutnuru Rahul Devra S. S. S. Dheeraj Sridevi Chinta |
| author_facet | Phani Chakravarty Mutnuru Rahul Devra S. S. S. Dheeraj Sridevi Chinta |
| author_sort | Phani Chakravarty Mutnuru |
| collection | DOAJ |
| description | Wunderlich syndrome (WS) is a spontaneous, non-traumatic retroperitoneal haemorrhage confined to the subcapsular or perinephric spaces. Various neoplastic and non-neoplastic pathologies can cause this entity, renal angiomyolipoma being the most common. Early accurate diagnosis and timely intervention are required for a favourable outcome. We present the case of a 37-year-old female with no previous comorbidities who developed severe pain in the left loin since 1 day after a fall from a chair. Ultrasonography abdomen done in outside hospital revealed massive splenomegaly with perisplenic haematoma and moderate haemoperitoneum. Contrast-enhanced computed tomography abdomen showed bilateral renal angiomyolipomas with intralesional aneurysms and active bleeding on the left side. In view of active contrast leak and fall in haemoglobin %, endovascular embolisation was done through right transfemoral arterial access. The patient was discharged in stable condition. During 1-month follow-up, the patient is asymptomatic. |
| format | Article |
| id | doaj-art-0005d002aa30470b90795df901d8f469 |
| institution | DOAJ |
| issn | 2277-5706 2277-8357 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical and Scientific Research |
| spelling | doaj-art-0005d002aa30470b90795df901d8f4692025-08-20T02:48:50ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Scientific Research2277-57062277-83572024-11-0113323123310.4103/jcsr.jcsr_24_23Endovascular management of Wunderlich syndromePhani Chakravarty MutnuruRahul DevraS. S. S. DheerajSridevi ChintaWunderlich syndrome (WS) is a spontaneous, non-traumatic retroperitoneal haemorrhage confined to the subcapsular or perinephric spaces. Various neoplastic and non-neoplastic pathologies can cause this entity, renal angiomyolipoma being the most common. Early accurate diagnosis and timely intervention are required for a favourable outcome. We present the case of a 37-year-old female with no previous comorbidities who developed severe pain in the left loin since 1 day after a fall from a chair. Ultrasonography abdomen done in outside hospital revealed massive splenomegaly with perisplenic haematoma and moderate haemoperitoneum. Contrast-enhanced computed tomography abdomen showed bilateral renal angiomyolipomas with intralesional aneurysms and active bleeding on the left side. In view of active contrast leak and fall in haemoglobin %, endovascular embolisation was done through right transfemoral arterial access. The patient was discharged in stable condition. During 1-month follow-up, the patient is asymptomatic.https://journals.lww.com/10.4103/jcsr.jcsr_24_23angiomyolipomaembolisationhaemorrhage |
| spellingShingle | Phani Chakravarty Mutnuru Rahul Devra S. S. S. Dheeraj Sridevi Chinta Endovascular management of Wunderlich syndrome Journal of Clinical and Scientific Research angiomyolipoma embolisation haemorrhage |
| title | Endovascular management of Wunderlich syndrome |
| title_full | Endovascular management of Wunderlich syndrome |
| title_fullStr | Endovascular management of Wunderlich syndrome |
| title_full_unstemmed | Endovascular management of Wunderlich syndrome |
| title_short | Endovascular management of Wunderlich syndrome |
| title_sort | endovascular management of wunderlich syndrome |
| topic | angiomyolipoma embolisation haemorrhage |
| url | https://journals.lww.com/10.4103/jcsr.jcsr_24_23 |
| work_keys_str_mv | AT phanichakravartymutnuru endovascularmanagementofwunderlichsyndrome AT rahuldevra endovascularmanagementofwunderlichsyndrome AT sssdheeraj endovascularmanagementofwunderlichsyndrome AT sridevichinta endovascularmanagementofwunderlichsyndrome |