Giovin, Manuela and Poggiali, Erika and Zocchi, Piervito and Bianchi, Esterina and Antonucci, Elio and Barbera, Mario (2022) A Case of Spontaneous Renal Haemorrhage (Wunderlich Syndrome) in an Anticoagulated Patient. European Journal of Case Reports in Internal Medicine, 9 (4). pp. 1-5. ISSN 2284-2594
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Abstract
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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Spontaneous renal haemorrhage, renal haematoma, Wunderlich syndrome, anticoagulation, flank pain, contrast-enhanced computed tomography |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 06 May 2022 09:36 |
| Last Modified: | 06 May 2022 09:36 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21867 |
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