ReviewActa bio-medica : Atenei Parmensis2023
Hypovolemic shock due to Wunderlich syndrome (spontaneous renal haemorrhage): a case report and literature review.
Review in Acta bio-medica : Atenei Parmensis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 5 citations in OpenAlex.
- Wünderlich syndrome mimicking acute cholecystitis: a case report.Journal of surgical case reports · 2026Article
- Wunderlich syndrome in a hypertensive male with multiple renal arteries: a rare case report.International journal of surgery case reports · 2026Article
- Fatal Wunderlich Syndrome During Hemodialysis: A Rare Case and Review of the Literature.Cureus · 2026Article
- Article
- From the heart to the kidney: A case report of Wunderlich syndrome following structural valve intervention.Radiology case reports · 2026Article
- Analysis of 46 Cases of Spontaneous Perirenal Hemorrhage: A Retrospective Observational Study.Journal of clinical medicine · 2025Article
- Acute presentation of Wunderlich syndrome in a pregnant woman treated with supra-selective cannulation of renal segmental arteries and nephrectomy: A case report.International journal of critical illness and injury scienceArticle
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Wunderlich syndrome (WS) or spontaneous renal haemorrhage is a rare and life-threatening condition often leading to haemorrhagic shock. WS is characterized by an acute onset of non-traumatic subcapsular and perirenal haematoma formation due to several causes, including neoplasms, cystic rupture, vasculitis, coagulopathies, and infections. The classical presentation includes acute flank or abdominal pain, a palpable flank mass and hypovolemic shock (Lenk's triad). Nausea, vomiting, fever, and haematuria can also be present. Computed tomography angiography is mandatory to localize the source of haemorrhage. Super-selective embolization can be performed to stop bleeding, while surgery is reserved to haemodynamic unstable patients and neoplastic cases. We describe a case of WS in a 79-year-old male patient, who rapidly developed hypovolemic shock requiring urgent nephrectomy.
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