Wunderlich syndrome: Cross-sectional imaging review

Venkata Katabathina, Rashmi Katre, Srinivasa R. Prasad, Venkateswar R. Surabhi, Alampady K P Shanbhogue, Abhijit G Sunnapwar

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Wunderlich syndrome (WS) is a rare condition characterized by acute onset of spontaneous, nontraumatic renal hemorrhage into the subcapsular and perirenal spaces. Wunderlich syndrome is classically characterized by the Lenk's triad: acute flank pain, flank mass, and hypovolemic shock. However, the clinical manifestations can be varied and nonspecific. A wide spectrum of neoplastic and nonneoplastic renal pathologies may result in WS. Renal neoplasms are the most common cause for WS, with angiomyolipoma being the most common benign neoplasm, whereas renal cell carcinoma is the most common malignant neoplasm. Other causative conditions of WS include vascular causes (vasculitis [polyarteritis nodosa being the most common cause], renal artery aneurysms, arteriovenous malformations and fistulas, and venous thrombosis), cystic renal diseases, renal infections, calculus disease, nephritis, and coagulation disorders. Cross-sectional imaging findings help in the detection of the subcapsular and/or perinephric hemorrhage and may identify underlying etiology. Renal angiography not only helps in diagnosis of the underlying cause in select cases but also allows control of active bleeding, which can avoid unnecessary emergent radical surgery.

Original languageEnglish (US)
Pages (from-to)425-433
Number of pages9
JournalJournal of Computer Assisted Tomography
Volume35
Issue number4
DOIs
StatePublished - Jul 2011

Fingerprint

Hemorrhage
Kidney
Cystic Kidney Diseases
Flank Pain
Angiomyolipoma
Polyarteritis Nodosa
Kidney Calculi
Nephritis
Kidney Neoplasms
Arteriovenous Malformations
Arteriovenous Fistula
Acute Pain
Renal Artery
Vasculitis
Renal Cell Carcinoma
Venous Thrombosis
Aneurysm
Blood Vessels
Shock
Neoplasms

Keywords

  • CT
  • MRI
  • Wunderlich syndrome

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Katabathina, V., Katre, R., Prasad, S. R., Surabhi, V. R., Shanbhogue, A. K. P., & Sunnapwar, A. G. (2011). Wunderlich syndrome: Cross-sectional imaging review. Journal of Computer Assisted Tomography, 35(4), 425-433. https://doi.org/10.1097/RCT.0b013e3182203c5e

Wunderlich syndrome : Cross-sectional imaging review. / Katabathina, Venkata; Katre, Rashmi; Prasad, Srinivasa R.; Surabhi, Venkateswar R.; Shanbhogue, Alampady K P; Sunnapwar, Abhijit G.

In: Journal of Computer Assisted Tomography, Vol. 35, No. 4, 07.2011, p. 425-433.

Research output: Contribution to journalArticle

Katabathina, V, Katre, R, Prasad, SR, Surabhi, VR, Shanbhogue, AKP & Sunnapwar, AG 2011, 'Wunderlich syndrome: Cross-sectional imaging review', Journal of Computer Assisted Tomography, vol. 35, no. 4, pp. 425-433. https://doi.org/10.1097/RCT.0b013e3182203c5e
Katabathina V, Katre R, Prasad SR, Surabhi VR, Shanbhogue AKP, Sunnapwar AG. Wunderlich syndrome: Cross-sectional imaging review. Journal of Computer Assisted Tomography. 2011 Jul;35(4):425-433. https://doi.org/10.1097/RCT.0b013e3182203c5e
Katabathina, Venkata ; Katre, Rashmi ; Prasad, Srinivasa R. ; Surabhi, Venkateswar R. ; Shanbhogue, Alampady K P ; Sunnapwar, Abhijit G. / Wunderlich syndrome : Cross-sectional imaging review. In: Journal of Computer Assisted Tomography. 2011 ; Vol. 35, No. 4. pp. 425-433.
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