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Case Reports in Urology
Volume 2015 (2015), Article ID 701046, 3 pages
http://dx.doi.org/10.1155/2015/701046
Case Report

Laparoscopic Treatment of a Spontaneously Ruptured Kidney (Wunderlich Syndrome)

1Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria
2Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia

Received 17 December 2014; Accepted 5 January 2015

Academic Editor: Fumitaka Koga

Copyright © 2015 Katharina Maria Bretterbauer 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

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.