[A simple renal cyst, the origin of Wunderlich's syndrome].
OBJECTIVE
An additional case of Wunderlich syndrome arising from a ruptured simple renal cyst is presented.


RESULTS
A 50-year-old female presented with pain, a mass in the left renal fossa and hypovolemia that could not be managed conservatively. The imaging techniques disclosed a large collection of blood in the left perirenal area. Surgical drainage of the hematoma and nephrectomy were performed. A simple cyst containing blood was found in the lower pole of the kidney. Its wall had been ruptured and had caused the hemorrhage.


CONCLUSIONS
If surgical management of hemorrhage is decided in a patient with Wunderlich's syndrome, a conservative procedure should be performed and nephrectomy avoided if the underlying condition is benign.
Valero Puerta
J A
JA
Servicio de Urología, Hospital de la Merced, Osuna, Sevilla, España.
Medina Pérez
M
M
Valpuesta Fernández
I
I
Sánchez González
M
M
D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D007674:Kidney Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D009392:Nephrectomy; D007690:Polycystic Kidney Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012187:Retroperitoneal Space; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography