Clinics in diagnostic imaging (178). Wünderlich syndrome and pseudoaneurysm.
- Author:
Raymond CHUNG
1
;
Ashish CHAWLA
1
;
Wilfred Cg PEH
1
Author Information
- Publication Type:Journal Article
- Keywords: Wünderlich syndrome; pseudoaneurym embolisation; renal haemorrhage; retroperitoneal haemorrhage
- From:Singapore medical journal 2017;58(6):289-293
- CountrySingapore
- Language:English
- Abstract: Wünderlich syndrome is a rare entity characterised by spontaneous retroperitoneal haemorrhage with renal origin. We present a case of Wünderlich syndrome secondary to clotting dyscrasia in a 64-year-old woman. The patient experienced a second Wünderlich haemorrhagic event with metachronous pseudoaneurysm formation, which was likely secondary to the large subcapsular haematoma stripping the renal capsule and tearing the cortical arteries. Selective pseudoaneurysm embolisations were successfully performed on both occasions. This clinical entity, its imaging differential diagnoses and management are discussed.
