title: Life-threatening Wunderlich's syndrome with concurrent clopidogrel use.
abstract: Spontaneous non-traumatic renal haemorrhage, or Wunderlich's syndrome, is a rare but potentially life-threatening event. We present the case of a 63-year-old man on clopidogrel who became haemodynamically unstable as a result of this condition. Angioembolisation revealed the unusual finding of active bleeding from multiple distinct subsegmental renal vessels, for which haemostasis was successfully achieved by coil placement. The patient remains well and with near-normal renal function on follow-up.
authors.affiliation: Austin Hospital, Heidelberg, Victoria, Australia.
authors.forename: Ned
authors.initials: N
authors.lastname: Kinnear
authors.affiliation: Austin Hospital, Heidelberg, Victoria, Australia.
authors.forename: Derek Barrry
authors.initials: DB
authors.lastname: Hennessey
authors.affiliation: Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: Hannah
authors.initials: H
authors.lastname: Douglass-Molloy
authors.affiliation: Austin Hospital, Heidelberg, Victoria, Australia.
authors.forename: Greg
authors.initials: G
authors.lastname: Jack
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D001803:Blood Transfusion; D000077144:Clopidogrel; D004621:Embolization, Therapeutic; D006470:Hemorrhage / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects; D013577:Syndrome; D013988:Ticlopidine / Q000009:adverse effects / Q000031:analogs & derivatives*
chemical_list: D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine