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温德利希综合征:罕见且未被认识的急症。

Wunderlich syndrome: Rare and unrecognized emergency.

作者信息

Larbi Hamedoun, Hassan Ilias, Cherraqi Amine, Saouab Rachida, Mohammed Alami, Ahmed Ameur

机构信息

Urology Department, Military Hospital of Instruction Mohamed V, Hay Ryad, 10100, RABAT, Morocco.

Radiology Department, Military Hospital of Instruction Mohamed V, Hay Ryad, 10100, RABAT, Morocco.

出版信息

Urol Case Rep. 2022 Apr 26;43:102093. doi: 10.1016/j.eucr.2022.102093. eCollection 2022 Jul.

Abstract

A real life-threatening emergency, Wunderlich syndrome (WS) is an interesting and unknown clinical condition characterised by intense beginning of spontaneous, non-traumatic renal haemorrhage in the sub-capsular and perirenal space, with a typical clinical and radiological presentation [1] that allow the diagnosis. Although most cases are treated invasively either by surgery or embolization to control the bleeding, Fortunately our 66 year old patient admitted to the Mohammed V military hospital in Rabat benefited from a conservative treatment, which allowed him to avoid all the associated complications and to be discharged from hospital in less than 4 days.

摘要

温德利希综合征(WS)是一种真正危及生命的急症,是一种有趣且尚不为人知的临床病症,其特征为在肾包膜下和肾周间隙突然开始出现自发性、非创伤性肾出血,具有典型的临床和放射学表现[1],据此可作出诊断。尽管大多数病例通过手术或栓塞进行侵入性治疗以控制出血,但幸运的是,我们在拉巴特的穆罕默德五世军事医院收治的一名66岁患者接受了保守治疗,这使他避免了所有相关并发症,并在不到4天的时间内出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/907e/9065635/8f7eef2848b0/gr1.jpg

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