Wunderlich syndrome

Case contributed by Dr Hani Salam

Presentation

Right upper quadrant acute pain and tenderness

Patient Data

Age: 26Y
Gender: Female
Ultrasound

Predominantly echogenic lesion involving the upper pole of the right kidney associated with more complex appearing perinephric collection.

CT

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 are noted.

Case Discussion

Perirenal hemorrhage without history of trauma complicating an angimyolipoma is known as Wunderlich syndrome. If perirenal hemorrhage is encountered on ultrasound, a throrough workup should be performed to exclude a bleeding renal cell carcinoma.

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Case information

rID: 10090
Case created: 25th Jun 2010
Last edited: 2nd Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

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