Wunderlich syndrome (WS) is a very uncommon (frequency not known) cause of flank pain wherein spontaneous bleeding occurs into the subcapsular and perirenal spaces of the kidney (1).
Wunderlich syndrome is a rare condition of acute spontaneous renal hemorrhage into the subcapsular and perirenal spaces.
Castillo, "Spontaneous retroperitoneal haemorrhage of renal origin (Wunderlich syndrome
): analysis of 8 cases," Archivos Espanoles de Urologia, vol.
Chauhan, "Herlyn werner wunderlich syndrome
with hematocolpos: An unusual case report of full diagnostic approach and treatment," International Journal of Fertility & Sterility, vol.
Prasad et al., "Wunderlich syndrome
: cross-sectional imaging review," Journal of Computer Assisted Tomography, vol.
We there proposed a subdivision for the mesonephric anomalies presenting with: (a) Large hematocolpos in a blind hemivagina (Wunderlich syndrome
); (b) Gartner's pseudocyst in the anterolateral wall of the permeable vagina (frequently as a Herlyn–Werner syndrome); (c) partial reabsorption of the intervaginal septum; and (d) complete unilateral vaginal or cervico-vaginal agenesis with or without communication between both hemiuteri.
Wunderlich syndrome is a spontaneous, non-traumatic, subcapsular or perirenal hemorrhage.
Cases of Wunderlich syndrome resulting from ES are extremely rare.
Wunderlich syndrome (WS) is a rare condition in which spontaneous renal hemorrhage occurs into the subcapsular and perirenal spaces.
Therapeutic strategy for Wunderlich syndrome. Acta Urol Belg 1997;65:73-9.
Spontaneous renal haemorrhage, or Wunderlich syndrome
, is a rare cause of acute abdominal pain.
However, it is felt that if the patient can be stabilized medically during the acute phase of spontaneous perinephric hemorrhage, a nephrectomy can be deferred (12,13).In a review of the diagnosis and management of 7 cases of Wunderlich syndrome
, Cubillana et al also found conservative management to be the most acceptable option, unless a malignant pathology could be demonstrated (14).