title: Laparoscopic treatment of a spontaneously ruptured kidney (wunderlich syndrome).
abstract: Spontaneous, nontraumatic retroperitoneal hemorrhage or Wunderlich syndrome (WS) is a rare but potential life-threatening condition. In most patients a bleeding renal neoplasm is the cause of the retroperitoneal hematoma. The management of this condition includes a conservative approach in the hemodynamically stable patients and active treatment in the unstable patients. Active treatment includes angioembolization or surgery. If angioembolization is not available open surgery is in most cases the preferred approach. We present a patient with a spontaneously ruptured kidney due to a central renal angiomyolipoma, which was treated by laparoscopic nephrectomy.
authors: Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria.
authors: Katharina Maria
authors: KM
authors: Bretterbauer
authors: Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Dean
authors: D
authors: Markić
authors: Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria.
authors: Daniela
authors: D
authors: Colleselli
authors: Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria.
authors: Stephan
authors: S
authors: Hruby
authors: Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria.
authors: Ahmed
authors: A
authors: Magdy
authors: Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria.
authors: Günter
authors: G
authors: Janetschek
authors: Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria.
authors: Michael Josef
authors: MJ
authors: Mitterberger