Wang Bonnie H, Pureza Vincent, Wang Huan
Department of Internal Medicine, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA
Department of Internal Medicine, University of Minnesota, Minneapolis, MN 55812, USA.
J Surg Case Rep. 2012 Dec 4;2012(11):rjs015. doi: 10.1093/jscr/rjs015.
Wunderlich syndrome is a rare entity characterized by acute onset of spontaneous, non-traumatic renal hemorrhage into the subcapsular and perirenal spaces. It can be fatal if not promptly recognized clinically and treated aggressively. We report a case of a 63-year-old Caucasian female who was presented to the emergency department with acute onset of sharp abdominal and right flank pain, and hypotension. An urgent abdominal and pelvic computed tomography scan with contrast demonstrated a large (13 × 12 × 8.5 cm) right perinephric hematoma of unknown etiology. The patient subsequently underwent renal angiogram that demonstrated active extravasation of the right superior renal artery. She underwent successful embolization procedure and responded well to fluid resuscitation. She remained hemodynamically stable and was discharged home without further events.
温德利希综合征是一种罕见的病症，其特征为自发性、非创伤性肾出血急性发作，血液进入肾包膜下和肾周间隙。如果临床上不能及时识别并积极治疗，可能会致命。我们报告一例63岁的白种女性病例，该患者因突发剧烈腹痛、右胁腹疼痛和低血压被送至急诊科。紧急进行的腹部和盆腔增强计算机断层扫描显示，右侧肾周有一个大的（13×12×8.5厘米）病因不明的血肿。患者随后接受了肾血管造影，显示右肾上级动脉有活动性造影剂外渗。她接受了成功的栓塞手术，对液体复苏反应良好。她血流动力学保持稳定，出院后未再出现其他情况。
