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A Case of Spontaneous Atraumatic Renal Bleeding (Wunderlich Syndrome)

Year: 2025

Type: article

Abstract: We present an uncommon case of atraumatic spontaneous renal hemorrhage in a 72-year-old woman with a background of atrial fibrillation on edoxaban who presented with a sudden onset of left abdominal pain, nausea, vomiting, lethargy, and dizziness. Cross-sectional imaging was performed and confirmed an ongoing renal bleed. She had a trial of conservative management; however, repeated imaging showed an ongoing, slow but active renal arterial bleed; hence, she underwent an embolization procedure. On-table angiogram revealed pseudoaneurysms in the upper and lower poles of the kidney, for which she underwent successful renal artery embolization.

Source: Cureus

DOI: 10.7759/cureus.93311

Authors: Lydia MY Chang, Shail Shah, Dora Moon

Institutions: National Health Service, Lancashire Teaching Hospitals NHS Foundation Trust, Health Education England, Health Education North West

Language: English

Topic: Case Reports on Hematomas

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414537428