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Case ReportCASE REPORTS AND CLINICAL OBSERVATIONS
Open Access

Unusual Presentation of Wünderlich Syndrome

Luis R. García-Chairez, Fred A. Montelongo-Rodríguez, Ilse A. Moreno-Arquieta, Max Molina Ayala and Adrián Gutierrez-González
Ochsner Journal September 2022, 22 (3) 273-276; DOI: https://doi.org/10.31486/toj.21.0120
Luis R. García-Chairez
1Department of Urology, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
MD
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Fred A. Montelongo-Rodríguez
1Department of Urology, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
MD
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Ilse A. Moreno-Arquieta
2Medical School Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
MD
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Max Molina Ayala
3Department of Pathology, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
MD
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Adrián Gutierrez-González
1Department of Urology, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
PhD
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Article Figures & Data

Figures

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    Figure 1.

    Abdominal-pelvic (A) transverse and (B) coronal computed tomography with contrast shows an abscess measuring 2.6 × 1.6 × 1.8 cm with a volume of 3.89 cc in the lower pole of the right kidney.

  • Figure 2.
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    Figure 2.

    Abdominal-pelvic (A) transverse and (B) coronal computed tomography with contrast shows a perirenal hematoma with dimensions of 10 × 7.3 × 5.4 cm and a volume of 205 cc in the posterior region of the right kidney.

  • Figure 3.
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    Figure 3.

    Macroscopic examination of the kidney revealed a hemorrhagic surface and laceration, with parenchymal rupture 0.6 cm deep, barely into the renal medulla.

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    Figure 4.

    (A) Histologic section shows a vast hemorrhagic area with fibrin (arrow) next to renal parenchyma showing chronic pyelonephritis; however, (B) another section revealed acute inflammatory process beneath the hemorrhage. Therefore, acute pyelonephritis preceded the parenchymal rupture and hemorrhage.

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Ochsner Journal: 22 (3)
Ochsner Journal
Vol. 22, Issue 3
Sep 2022
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Unusual Presentation of Wünderlich Syndrome
Luis R. García-Chairez, Fred A. Montelongo-Rodríguez, Ilse A. Moreno-Arquieta, Max Molina Ayala, Adrián Gutierrez-González
Ochsner Journal Sep 2022, 22 (3) 273-276; DOI: 10.31486/toj.21.0120

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Unusual Presentation of Wünderlich Syndrome
Luis R. García-Chairez, Fred A. Montelongo-Rodríguez, Ilse A. Moreno-Arquieta, Max Molina Ayala, Adrián Gutierrez-González
Ochsner Journal Sep 2022, 22 (3) 273-276; DOI: 10.31486/toj.21.0120
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Cited By...

  • Wunderlich syndrome in a patient with pyelonephritis
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Keywords

  • Hemorrhage
  • kidney
  • Nephrectomy
  • pyelonephritis

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