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[A simple renal cyst, the origin of Wunderlich's syndrome]
J A Valero Puerta1, M Medina Pérez, I Valpuesta Fernández
1Servicio de Urología, Hospital de la Merced, Osuna, Sevilla, España.
Objective:
An additional case of Wunderlich syndrome arising from a ruptured simple renal cyst is presented.
Methods/Results:
A 50-year-old female presented with pain, a mass in the left renal fossa and hypovolemia that could not be managed conservatively. The imaging techniques disclosed a large collection of blood in the left perirenal area. Surgical drainage of the hematoma and nephrectomy were performed. A simple cyst containing blood was found in the lower pole of the kidney. Its wall had been ruptured and had caused the hemorrhage.
Conclusions:
If surgical management of hemorrhage is decided in a patient with Wunderlich's syndrome, a conservative procedure should be performed and nephrectomy avoided if the underlying condition is benign.