title: [Wunderlich disease. First manifestation of a renal adenocarcinoma].
abstract: We present a case of the classical Wünderlich syndrome or circumscribed extracapsular renal hematoma in a 54-year-old male patient who had consulted for an inguinal mass and hemiscrotal ecchymosis. The patient had referred an episode of intense pain in the left renal fossa and the clinical picture of syncope 3-4 days earlier. Surgery disclosed severe perirenal hemorrhage from an undiagnosed renal adenocarcinoma that had ruptured.
authors.affiliation: Servicio de Radiología, Hospital Virgen del Camino, Pamplona, España.
authors.forename: A
authors.initials: A
authors.lastname: Rivas Alonso
authors.forename: T
authors.initials: T
authors.lastname: Franquet Casas
authors.forename: P
authors.initials: P
authors.lastname: Arellano Atienza
authors.forename: M
authors.initials: M
authors.lastname: Berdusan Sánchez
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space; D012422:Rupture, Spontaneous
vernacular_title: Enfermedad de Wünderlich. Primera manifestación de un adenocarcinoma renal.