Presentation
Right upper quadrant acute pain and tenderness.
Patient Data
Age: 25 years
Gender: Female
From the case:
Wunderlich syndrome
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Predominantly echogenic lesion involving the upper pole of the right kidney associated with more complex appearing perinephric collection.
From the case:
Wunderlich syndrome
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CT scan of the abdomen confirms the presence of a fatty lesion in the upper pole of the right kidney consistent with angiomyolipoma complicated by hemorrhage.
Incidental two tiny hepatic hemangiomas.
Case Discussion
Perirenal hemorrhage without a history of trauma complicating an angiomyolipoma is known as Wunderlich syndrome. If perirenal hemorrhage is encountered on ultrasound, a thorough workup should be performed to exclude a bleeding renal cell carcinoma.
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