WUNDERLICH SYNDROME, A RARE AND INTERESTING CASE WITH ITS RADIOLOGICAL PRESENTATION
*Saman Anwar, Ayesha Shayan, Hina Naseer, Rida Zainab, Uzma and Danial Khalid
ABSTRACT
Wunderlich syndrome is a rare but potentially life-threatening clinical condition that presents as an atraumatic spontaneous hemorrhage into renal subcapsular and retroperitoneal region. Its clinical presentation includes a triad of symptoms known as Lenk’s triad and comprises of acute onset flank pain, a palpable flank mass and hypovolemic state secondary to internal bleeding. We present the case of a 73-year-old non-compliant hypertensive patient who presented with left upper quadrant pain and vomiting and was found to have perinephric hematoma, secondary to active bleeding from aneurysms in a renal angiomyolipoma. She was managed with selective angioembolization. Post embolization clinical course was uneventful and patient recovered smoothly.
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