title: Spontaneous perirenal hemorrhage in end-stage renal disease treated with selective embolization.
abstract: Spontaneous nontraumatic rupture of the kidney (Wunderlich syndrome) is an extremely uncommon condition on hemodialysis. We report a case of 44-year-old hemodialysis patient presented with hemorrhagic shock and a right quadrant abdominal pain to the emergency department. There was no history of trauma. A kidney rupture was revealed by abdominal computed tomography, and active bleeding was successfully managed with arterial embolization. This case illustrates the safe and successful application of interventional radiology in the management of nontraumatic renal hemorrhage in the specific group of hemodialyzed patients even in the emergency setting.
authors.affiliation: Department of Interventional Radiology, University Hospital of Larissa, Larissa, Greece.
authors.forename: Christos
authors.initials: C
authors.lastname: Rountas
authors.forename: Eleni
authors.initials: E
authors.lastname: Sioka
authors.forename: Angelos
authors.initials: A
authors.lastname: Karagounis
authors.forename: Spyridon
authors.initials: S
authors.lastname: Golphinopoulos
authors.forename: Panagiota
authors.initials: P
authors.lastname: Kourti
authors.forename: Ioannis
authors.initials: I
authors.lastname: Stefanidis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Zacharoulis
authors.forename: Vassilios
authors.initials: V
authors.lastname: Tzortzis
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology / Q000628:therapy*; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D006435:Renal Dialysis; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed