Abstract

Wunderlich syndrome (WS), also known as spontaneous perirenal hematoma (SPH), is a rare disease characterized by spontaneous hemorrhage in the subcapsular and perirenal spaces. We present a case of WS, in which a patient with developmental delay presented spontaneously to the medical center, due to pain in the right hypochondrium associated with hyporexia, vomiting, skin pallor and tachycardia. Computed tomography showed a large perirenal hematoma on the right. The patient evolved with hemodynamic instability, requiring right nephrectomy.

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