Year 2022 / Volume 114 / Number 2
Digestive Diseases Image
Wunderlich syndrome secondary to severe acute pancreatitis

107-108

DOI: 10.17235/reed.2021.8184/2021

Xiangyu Du, Xin Fu, Lianyang Zhang, Xiaojuan Shao,

Abstract
A 35-year-old male was diagnosed with severe acute pancreatitis (SAP). CT showed inflammation changes of the pancreas and peripancreatic tissue, known as pseudocyst formation. The patient subsequently heard a clicking noise in his abdomen, followed by left low back pain and abdominal distension with palpitation and hemodynamic instability. Blood tests showed a high white blood cell count (38.2 x 109/L) and low hemoglobin level (55 g/L). CT revealed a massive subcapsular hematoma of the left kidney that filled the left abdominal cavity.
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References
1.Chamarthi G, Koratala A. Wunderlich syndrome. Clin Case Rep 2018; 6(9): 1901-2.
2.Grubb SM, Stuart JI, Harper HM. Sudden onset flank pain: Spontaneous renal rupture. Am J Emerg Med 2017; 35(11): 1787 e1- e3.
3.Kim JW, Kim JY, Ahn ST, et al. Spontaneous perirenal hemorrhage (Wunderlich syndrome): An analysis of 28 cases. Am J Emerg Med 2019; 37(1): 45-7.
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Du X, Fu X, Zhang L, Shao X. Wunderlich syndrome secondary to severe acute pancreatitis. 8184/2021


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Publication history

Received: 29/06/2021

Accepted: 04/07/2021

Online First: 13/07/2021

Published: 07/02/2022

Article Online First time: 14 days

Article editing time: 223 days


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