Wunderlich syndrome (spontaneous subcapsular renal haemorrhage) associated with renal abscess: CT imaging of pre-renal and post-renal drainage

Salazar-Ruiz S.Y, Nino-Najera W., Roldan-Valadez E.

Spontaneous subcapsular renal bleeding is an uncommon condition that is unusually caused by obstructive uropathy. We present an unusual case of a 58-year-old female patient who presented with sudden onset right-sided flank pain associated with nausea, vomiting and fever. The diagnosis was confirmed by contrast-enhanced computed tomography, but it was not easy to propose a treatment when the aetiology is not precise. Imaging follow-up and therapeutic approach are discussed. Our case is original as one of the few reports with conservative management after the drained renal abscess and obstruction caused by the spontaneous renal haemorrhage.	1 -  Directorate of Research, Hospital General de Mexico “Dr Eduardo Liceaga”. Mexico City, Mexico. 2 - Urology unit. Hospital Militar Regional de Especialidades de Merida. Merida city, Yucatan state, Mexico. 3 - I.M. Sechenov First Moscow State Medical University (Sechenov University),  Moscow, Russia.

 

Keywords: kidney calculi; hematoma; Wunderlich syndrome.

 

Corresponding author:  Ernesto Roldan-Valadez e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Salazar-Ruiz S.Y, Nino-Najera W., Roldan-Valadez E. Wunderlich syndrome (spontaneous subcapsular renal haemorrhage) associated with renal abscess: CT imaging of pre-renal and post-renal drainage. REJR 2021; 11(2):233-237. DOI: 10.21569/2222-7415-2021-11-2-233-237.

Received:       09.05.21 Accepted: 25.06.21