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Case Reports in Urology
Volume 2015, Article ID 316956, 3 pages
http://dx.doi.org/10.1155/2015/316956
Case Report

Bilateral Wünderlich Syndrome Caused by Spontaneous Rupture of Renal Angiomyolipomas

1Department of Urology, University Hospital Rijeka, Tome Strižica 3, 51 000 Rijeka, Croatia
2Department of Radiology, University Hospital Rijeka, Tome Strižica 3, 51 000 Rijeka, Croatia

Received 1 January 2015; Revised 11 February 2015; Accepted 12 February 2015

Academic Editor: Elijah O. Kehinde

Copyright © 2015 Stanislav Sotošek et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Wünderlich syndrome (WS) is a urological emergency characterized by retroperitoneal hemorrhage. In most cases, bleeding occurs from a renal angiomyolipoma (AML) and may be the first manifestation of the disease. We report a female patient with bilateral WS due to the metachronous rupture of renal AMLs. Because the patient was stable and the tumor was not malignant, treatment was conservative. Follow-up revealed the full recovery of kidney function and the resolution of the hematoma.