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Wunderlich’s syndrome: Three cases of acute spontaneous renal bleeding, conservately treated

Andrea Guttilla, Alessandro Crestani, Francesco Cattaneo, Fabio Zattoni, Claudio Valotto, Massimo Iafrate, Fabrizio Dal Moro, Filiberto Zattoni
  • Andrea Guttilla
    Urology Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Italy | andrea.guttilla@gmail.com
  • Alessandro Crestani
    Urology Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Italy
  • Francesco Cattaneo
    Urology Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Italy
  • Fabio Zattoni
    Urology Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Italy
  • Claudio Valotto
    Urology Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Italy
  • Massimo Iafrate
    Urology Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Italy
  • Fabrizio Dal Moro
    Urology Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Italy
  • Filiberto Zattoni
    Urology Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Italy

Abstract

Wunderlich’s syndrome is a clinical condition defined as a spontaneous renal bleeding of non traumatic origin, contained within the Gerota’s fascia. Wunderlich’s syndrome is rare. Spontaneous bleeding of kidney tumors, either benign or malignant, represents the more common causes. Classically it presents with acute flank pain, tender palpable mass and clinical hemodynamic deterioration. These symptoms are defined as the Lenk’s classic triad. We present three cases of spontaneous renal bleeding.

Keywords

Kidney; Spontaneous bleeding; Angiography; Kidney tumours

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Submitted: 2014-01-02 16:45:25
Published: 2013-12-31 00:00:00
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Copyright (c) 2013 Andrea Guttilla, Alessandro Crestani, Francesco Cattaneo, Fabio Zattoni, Claudio Valotto, Massimo Iafrate, Fabrizio Dal Moro, Filiberto Zattoni

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