Wunderlich Syndrome Managed with Angiomyolipoma Embolization - Renal Artery Anatomic Variant Augmenting Safe and Nephron-Sparing Intervention

Wunderlich syndrome is an uncommon entity characterized by spontaneous, nontraumatic renal bleeding into the subcapsular and perirenal regions. The most frequent benign tumor, angiomyolipoma, is the most common cause of Wunderlich syndrome. We report a case of Wunderlich syndrome in angiomyolipoma....

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Bibliographic Details
Published in:Acta medica Lituanica 2024-01, Vol.31 (1), p.22-127
Main Authors: Tripathy, Tara Prasad, Alagappan, Alamelu, Patel, Ranjan, Behera, Srikant Kumar, Sandip Kumar, Panda, Naik, Suprava
Format: Article
Language:English
Subjects:
angiomyolipoma
Case Study
embolization
Wunderlich syndrome
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Summary:Wunderlich syndrome is an uncommon entity characterized by spontaneous, nontraumatic renal bleeding into the subcapsular and perirenal regions. The most frequent benign tumor, angiomyolipoma, is the most common cause of Wunderlich syndrome. We report a case of Wunderlich syndrome in angiomyolipoma. Intratumoral pseudoaneurysm arising from feeders of an accessory renal artery supplying the lower pole of the kidney was selectively embolized. Rarely does a sporadic renal angiomyolipoma develop a giant pseudoaneurysm. Transarterial embolization is imperative to control the bleeding or as a preventative measure to reduce the risk of intralesional pseudoaneurysm rupture. When vascular interventional facilities are unavailable, surgery may be necessary.
ISSN:1392-0138
2029-4174
DOI:10.15388/Amed.2024.31.1.3