• Renal failure · Jan 2012

    Case Reports

    Spontaneous perirenal hemorrhage in end-stage renal disease treated with selective embolization.

    • Christos Rountas, Eleni Sioka, Angelos Karagounis, Spyridon Golphinopoulos, Panagiota Kourti, Ioannis Stefanidis, Dimitrios Zacharoulis, and Vassilios Tzortzis.
    • Department of Interventional Radiology, University Hospital of Larissa, Larissa, Greece.
    • Ren Fail. 2012 Jan 1;34(8):1037-9.

    AbstractSpontaneous nontraumatic rupture of the kidney (Wunderlich syndrome) is an extremely uncommon condition on hemodialysis. We report a case of 44-year-old hemodialysis patient presented with hemorrhagic shock and a right quadrant abdominal pain to the emergency department. There was no history of trauma. A kidney rupture was revealed by abdominal computed tomography, and active bleeding was successfully managed with arterial embolization. This case illustrates the safe and successful application of interventional radiology in the management of nontraumatic renal hemorrhage in the specific group of hemodialyzed patients even in the emergency setting.

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