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Gaceta Médica Boliviana

Print version ISSN 1012-2966On-line version ISSN 2227-3662


OVIEDO GAMBOA, Ifigenia  and  RICALDEZ MUNOZ, Rodolfo. Wunderlich syndrome a rare cause of acute abdomen in patients with acquired cystic kidney disease: first report of two cases in Bolivia. Gac Med Bol [online]. 2014, vol.37, n.1, pp.36-39. ISSN 1012-2966.

Wunderlich syndrome is a clinical presenting with severe back pain, palpable mass in flank and hemodynamic instability, characterized by the presence of spontaneous perirenal hemorrhage, nontraumatic. Possible etiologies Being vascular disease, benign, malignant and other causes and spontaneous rupture of renal cysts by acquired cystic disease in hemodialysis patients as in the cases presented. Both ultrasound and CT images demonstrate characteristics of subcapsular and perirenal hematomas, allowing us to reach an accurate diagnosis of this rare cause of acute abdomen. We report two cases the first of a 35 year old woman with sudden onset of severe pain in the lumbar region, signs of hypovolemic shock is requested abdominal ultrasound and CT scan without contrast extensive reporting right renal perirenal hematoma, free fluid in the abdominal cavity, cysts bilateral renal. Second case 54 year old man with sudden abdominal pain in the right flank, ultrasonography and CT of the abdomen report right subcapsular hematoma, cortical cysts in both kidneys exploratory laparotomy and nephrectomy in two patients, both have a favorable and continue to program dialysis.

Keywords : renal hematoma; cysts; tomography; ultrasound.

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