Acute Flank Pain, Flank Mass and Hypovolemic Shock due to Kidney Cysts Rupture: An Emblematic Case of Wunderlich Syndrome.
Spontaneous perinephric hemorrhage due to kidney cysts rupture is uncommon complication but when it occurs can cause an emergency situation that may endanger the patient’s life. Wunderlich first described the condition of spontaneous, non-traumatic renal bleeding confined to the subcapsular and perirenal spaces.
Herein, we report a case of Wunderlich syndrome due to spontaneous rupture of a simple kidney cyst. In our case, the spontaneous retroperitoneal hemorrage was associated to a probable giant haemorragic cyst that is uncommon since cyst rupture occurs into caliceal system rather than the perinephric space.
Wunderlich syndrome after spontaneous, non-traumatic kidney cyst rupture is a rare entity. A multimodality approach is necessary to a have a definitive diagnosis in order to choose the best treatment possible for the patient.
Kidney cysts include both benign and malignant etiology and can occur spontaneously or
be caused by acquired cystic kidney disease, such as polycystic kidney disease. KC are masses that are predominantly composed of spaces filled with clear or straw-colored fluid.
Spontaneous perinephric hemorrhage due to KC rupture is uncommon complication but when
it occurs can cause an emergency situation that may endanger the patient’s life. Herein, we report a case of Wunderlich syndrome due to spontaneous rupture of a simple KC.
Emerg Med Open J. 2016; 2(2): 36-38. doi: 10.17140/EMOJ-2-127