Presentation
Sudden onset of right lower abdominal pain, tender on examination, voluntary guarding.
Patient Data
Acute large right perinephric haematoma is noted with active extravasation of contrast due to a pseudo-aneurysm at the lower pole fat-containing lesion of the right kidney.
Pre-embolisation angiogram study shows contrast filling of the pseudo-aneurysm at the lower pole region of the right kidney which stops completely on coil embolisation.
Case Discussion
Spontaneous non-traumatic renal haemorrhage into the subcapsular and perirenal spaces is called Wunderlich syndrome. Angiomyolipomas are the most common benign non-malignant causes for the same, like in our case. The risk of spontaneous haemorrhage increases with the size of the lesion (>4cm size).
Angiographic selective embolisation was performed, which was a life-saving procedure for her.
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