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J Emerg Trauma Shock. 2009 Sep;2(3):203-5. doi: 10.4103/0974-2700.55346.

Wunderlich's syndrome and hemorrhagic shock.

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Urology Department, IRCCS Policlinico San Donato, University of Milan, San Donato Milanese, Milan, Italy.


We report a case of Wunderlich's syndrome in an obese woman associated with massive retroperitoneal hemorrhage. Stable hemodynamic patient condition was obtained by selective arterial embolization. Since the first embolization of a renal angiomyolipoma in 1976 by Moorhead et al., highly selective renal arterial embolization of angiomyolipoma with rupture has become a procedure that offers greater efficacy, particularly in life-threatening cases.

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