Clinics in diagnostic imaging (178). Wünderlich syndrome and pseudoaneurysm

Wünderlich syndrome is a rare entity characterised by spontaneous retroperitoneal haemorrhage with renal origin. We present a case of Wünderlich syndrome secondary to clotting dyscrasia in a 64-year-old woman. The patient experienced a second Wünderlich haemorrhagic event with metachronous pseudoane...

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Bibliographic Details
Published in:Singapore medical journal 2017-06, Vol.58 (6), p.289-293
Main Authors: Chung, Raymond, Chawla, Ashish, Peh, Wilfred Cg
Format: Article
Language:English
Subjects:
Aneurysm, False - diagnosis
Aneurysm, False - diagnostic imaging
Diagnosis, Differential
Female
Hematoma - diagnosis
Hematoma - diagnostic imaging
Hemorrhage - diagnosis
Hemorrhage - diagnostic imaging
Humans
Kidney Diseases - diagnosis
Kidney Diseases - diagnostic imaging
Middle Aged
Renal Artery - diagnostic imaging
Retroperitoneal Space - diagnostic imaging
Syndrome
Tomography, X-Ray Computed
Online Access:Get full text
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Summary:Wünderlich syndrome is a rare entity characterised by spontaneous retroperitoneal haemorrhage with renal origin. We present a case of Wünderlich syndrome secondary to clotting dyscrasia in a 64-year-old woman. The patient experienced a second Wünderlich haemorrhagic event with metachronous pseudoaneurysm formation, which was likely secondary to the large subcapsular haematoma stripping the renal capsule and tearing the cortical arteries. Selective pseudoaneurysm embolisations were successfully performed on both occasions. This clinical entity, its imaging differential diagnoses and management are discussed.
ISSN:0037-5675
DOI:10.11622/smedj.2017049