BMJ Case Reports 2012; doi:10.1136/bcr-2012-006280
  • Reminder of important clinical lesson

Wunderlich's syndrome (spontaneous renal haemorrhage)

  1. Imran Rizvi2
  1. 1Department of Radiodiagnosis, J N Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  2. 2Department of General Medicine, J N Medical College, Aligarh, Uttar Pradesh, India
  1. Correspondence to Dr Imran Rizvi, imranrizvi09{at}


Wunderlich's syndrome is a rare condition characterised by spontaneous non-traumatic renal haemorrhage into the subcapsular and perirenal space. The commonest cause of Wunderlich's syndrome is renal neoplasms, with angiomyolipoma and renal cell carcinoma being the most common benign and malignant lesions, respectively. We report a case of Wunderlich's syndrome in a 46-year-old woman. She presented in the emergency department with the chief complaints of sudden onset of abdominal pain with no significant medical history. Imaging findings and clinical history led to the diagnosis of Wunderlich's syndrome. The patient underwent left partial nephrectomy and recovered without any complications. She is presently doing well.


  • Competing interests None.

  • Patient consent Obtained.

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