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. 2018 Jul 22;6(9):1901-1902.
doi: 10.1002/ccr3.1738. eCollection 2018 Sep.

Wunderlich syndrome

Gajapathiraju Chamarthi  1 , Abhilash Koratala  1
Affiliations

Wunderlich syndrome

Gajapathiraju Chamarthi et al. Clin Case Rep. .

Abstract

End-stage renal disease (ESRD) patients are predisposed to bleeding diathesis in the setting of uremic platelet dysfunction and endothelial abnormalities. One should have high index of suspicion for spontaneous renal hemorrhage when these patients present with abdominal pain and/or unexplained drop in hemoglobin and appropriate imaging should be undertaken without delay.

Keywords: bleeding; embolization; end‐stage renal disease; renal hemorrhage.

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Figures

Figure 1
Figure 1
Computed tomography of the abdomen (transverse and coronal views) demonstrating hemorrhage throughout the right kidney extending into the pararenal spaces [chevrons]. Extravasation of the contrast was noted at the upper pole, indicating active bleeding [arrows]
See this image and copyright information in PMC

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