Wunderlichacute's syndrome due to rupture of a renal angiomyolipoma.
We present the clinical case of a 79 year-old patient with hypertension, treated with anticoagulants and known background of right renal angiomyolipoma that is admitted to the emergency ward due to pain and mass in right flank. The CT revealed retroperitoneal haematoma, active renal intratumoral bleeding and hemoperitoneum. A total emergency nephrectomy was carried out. The patient presented an upper intestinal fistula and died on the sixth day after surgery.
Pacios Cantero
J C
JC
Servicio de Aparato Digestivo. Hospital Universitario La Paz. Madrid, Spain.
Pérez Robledo
J P
JP
Moreno Azcoita
M
M
D000368:Aged; D018207:Angiomyolipoma / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D011859:Radiography; D012187:Retroperitoneal Space; D012421:Rupture; D013577:Syndrome