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Case Rep Urol. 2015;2015:701046. doi: 10.1155/2015/701046. Epub 2015 Feb 26.

Laparoscopic treatment of a spontaneously ruptured kidney (wunderlich syndrome).

Case reports in urology

Katharina Maria Bretterbauer, Dean Markić, Daniela Colleselli, Stephan Hruby, Ahmed Magdy, Günter Janetschek, Michael Josef Mitterberger, Voutilainen, Saaranen, Sormunen

Affiliations

  1. Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria.
  2. Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia.

PMID: 25852958 PMCID: PMC4374331 DOI: 10.1155/2015/701046

Abstract

Spontaneous, nontraumatic retroperitoneal hemorrhage or Wunderlich syndrome (WS) is a rare but potential life-threatening condition. In most patients a bleeding renal neoplasm is the cause of the retroperitoneal hematoma. The management of this condition includes a conservative approach in the hemodynamically stable patients and active treatment in the unstable patients. Active treatment includes angioembolization or surgery. If angioembolization is not available open surgery is in most cases the preferred approach. We present a patient with a spontaneously ruptured kidney due to a central renal angiomyolipoma, which was treated by laparoscopic nephrectomy.

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