Abstract
Wünderlich syndrome (WS) is a rare condition, in which spontaneous nontraumatic renal hemorrhage occurs into the subcapsular and perirenal spaces and was described for the first time by Bonet in 1700. The etiology of the entity is very diverse, including benign or malign neoplasms, vascular diseases, infectious and inflammatory kidney diseases, and could be combined with some diseases. Clinically the syndrome is characterized by the classic Lenk's triad. We describe a case of WS in a 37-years-old woman with loss of strength in the right superior limb for three months. After admission in the hospital her physical examination showed up pallor, tachycardia and evolved with diffuse abdominal pain. Fallowing all medical conducts the patient do not resist.
Highlights
Many causes of retroperitoneal hemorrhage have been described
Spontaneous retroperitoneal hemorrhage (SRH) of non-traumatic originated from renal parenchymal rupture was first described by Bonet in 1700
Polyarteritis nodosa (PAN) is an autoimmune disease characterized by necrotizing arteritis of small- and medium-sized muscular arteries associated with aneurysmal nodules, condition first described by Adolph Kussmaul and Rudolph Maier in 1866, and could affect multiple organs [15,16,17,18,19]
Summary
Many causes of retroperitoneal hemorrhage have been described. The origin may be caused by any retroperitoneal structure (renal, vascular, pâncreas, adrenal, etc.). Many causes of retroperitoneal hemorrhage have been described. The origin may be caused by any retroperitoneal structure (renal, vascular, pâncreas, adrenal, etc.). Spontaneous retroperitoneal hemorrhage (SRH) of non-traumatic originated from renal parenchymal rupture was first described by Bonet in 1700.
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