PT  - JOURNAL ARTICLE
AU  - Moratalla, M Ballesta
TI  - Wunderlich’s syndrome due to spontaneous rupture of large bilateral angiomyolipomas
AID  - 10.1136/emj.2008.062091
DP  - 2009 Jan 01
TA  - Emergency Medicine Journal
PG  - 72--72
VI  - 26
IP  - 1
4099  - http://emj.bmj.com/content/26/1/72.short
4100  - http://emj.bmj.com/content/26/1/72.full
SO  - Emerg Med J2009 Jan 01; 26
AB  - Spontaneous renal haemorrhage, or Wunderlich’s syndrome, is an unusual cause of acute abdomen. It is a rare disease, usually secondary to tumours, and is an emergency and life-threatening condition. CT scanning is highly recommended to achieve a definitive diagnosis and to determine the approach to follow, trying to use conservative surgery whenever possible, although our case was treated with nephrectomy. The case history is reported of spontaneous renal haemorrhage or Wünderlich syndrome secondary to bilateral giant renal angiomyolipomas in a 21-year-old patient with tuberous sclerosis.