Vasculitis-related Wunderlich's syndrome treated without surgical intervention
Journal
Clinical Nephrology
Journal Volume
66
Journal Issue
4
Pages
291-296
Date Issued
2006
Author(s)
Abstract
Spontaneous renal or peri-renal bleeding or so-called Wunderlich's syndrome is a rare but potentially life-threatening condition. Most reported cases are Caucasian and caused by ruptured renal tumors, either benign or malignant. The syndrome has never been documented in Orientals with underlying autoimmune diseases. We report 3 cases of spontaneous renal bleeding with concurrent systemic lupus erythematosus and vasculitis presenting with flank or abdominal pain, anemia, leukocytosis, and a high C-reactive protein. All were diagnosed by computerized tomography, magnetic resonance imaging or angiography, and treated successfully with glucocorticoids and cytotoxic agents without surgical intervention. ? 2006 Dustri-Verlag Dr. K. Feistle.
Subjects
Spontaneous renal bleeding; Vasculitis; Wunderlich's syndrome
SDGs
Other Subjects
acetylsalicylic acid; C reactive protein; creatinine; cyclophosphamide; cytotoxic agent; enalapril; enoxaparin; gelfoam; glucocorticoid; immunosuppressive agent; methylprednisolone; oral antidiabetic agent; proton pump inhibitor; abdominal pain; acute kidney failure; adult; aged; anemia; aneurysm rupture; article; artificial embolism; bacteriuria; blood transfusion; brain vasculitis; case report; clinical feature; comorbidity; computer assisted tomography; creatinine blood level; diabetic nephropathy; differential diagnosis; disease severity; dysuria; echography; female; fever; flank pain; hematuria; human; hypertension; immunosuppressive treatment; kidney function; kidney hemorrhage; kidney hypertrophy; leukocytosis; lupus erythematosus nephritis; magnetic resonance angiography; melena; mononeuropathy multiplex; muscle weakness; nephrolithiasis; non insulin dependent diabetes mellitus; nuclear magnetic resonance imaging; protein blood level; pyuria; renal artery aneurysm; systemic lupus erythematosus; treatment outcome; upper gastrointestinal bleeding; urinalysis; vasculitis; vertigo; wunderlich syndrome
Publisher
Dustri-Verlag Dr. Karl Feistle
Type
journal article