Endovascular management of Wunderlich syndrome

Endovascular management of Wunderlich syndrome

Blog Article

Wunderlich syndrome (WS) is a spontaneous, non-traumatic retroperitoneal haemorrhage confined to the subcapsular or perinephric spaces.Various neoplastic and non-neoplastic pathologies can cause this entity, renal angiomyolipoma being the most common.Early accurate diagnosis and timely intervention are required for a favourable outcome.

We present the case of a 37-year-old female with no previous comorbidities who developed 1969 corvette seat covers severe pain in the left loin since 1 day after a fall from a chair.Ultrasonography abdomen done in outside hospital revealed massive splenomegaly with perisplenic haematoma and moderate haemoperitoneum.Contrast-enhanced computed tomography abdomen showed bilateral renal angiomyolipomas with intralesional aneurysms and active bleeding on the left side.

In view of active contrast leak and fall in haemoglobin %, endovascular embolisation was done through right transfemoral arterial access.The patient was discharged in case of caymus stable condition.During 1-month follow-up, the patient is asymptomatic.