Spontaneous Renal Hemorrhage in a Diabetic Male Patient With Benign Prostatic Hyperplasia: A Case Report

Wunderlich syndrome, defined as spontaneous nontraumatic renal hemorrhage, is a rare clinical entity. We present a case of Wunderlich syndrome in a 62-year-old male patient with type 2 diabetes mellitus and benign prostatic hyperplasia (BPH) who presented with recurrent hematuria and was found to have a Grade III left renal hematoma. The patient underwent exploratory laparotomy and left nephrectomy. The postoperative course was marked by hematuria, necessitating close monitoring and management. Nephrology consultation was obtained, with recommendations for avoiding nephrotoxic agents and careful monitoring of renal function. The patient was eventually discharged without complications. This case highlights the importance of considering spontaneous renal hemorrhage in patients with diabetes and BPH, as well as the potential for successful surgical management.