Management of Nontraumatic Spontaneous Renal Hemorrhage (Wünderlich Syndrome) through Robotic-Assisted Laparoscopic Nephrectomy: A Case Series

Boju Tao; Haoxun Zhang; Guoling Zhang; Hua Liu; Le Meng; Xiangyu Zhu; Xuran Ji; Guang Jia; Ao Qi; Chunyang Wang

doi:10.12659/AJCR.942826

25 April 2024 : Case report China (mainland)

Management of Nontraumatic Spontaneous Renal Hemorrhage (Wünderlich Syndrome) through Robotic-Assisted Laparoscopic Nephrectomy: A Case Series

Unusual or unexpected effect of treatment, Rare disease

Boju Tao^1ACEF, Haoxun Zhang^1B, Guoling Zhang^1BD, Hua Liu^1D, Le Meng^1D, Xiangyu Zhu^1F, Xuran Ji^1F, Guang Jia^1E, Ao Qi^1E, Chunyang Wang^1AEG*

DOI: 10.12659/AJCR.942826

Am J Case Rep 2024; 25:e942826

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Table 1. Case series.

	Patient 1	Patient 2	Patient 3
Age (y)	48	53	45
Sex	Female	Female	Male
Side	Right	Right	Left
Symptoms	Flank pain	Flank pain, nausea	Flank pain
Physical examination	Palpable mass with tenderness	Palpable mass with tenderness	Palpable mass with tenderness
Preoperative transfusion
RBC (unit)	None	2	2
FP (ml)	None	200	400
Waiting time from admission to surgery (days)	2	2	4
Operative time (min)	240	180	240
Postoperative drainage tube removal time (days)	2	3	3
Complications	None	None	None
Pathology	AML	RCC	RCC
LOS (days)	6	7	10
Follow-up (9 months)	Cr 72.8 umol/L	Cr 84.1 umol/L	Cr 85.3 umol/L
RBC – red blood cell; FP – frozen plasma; OT – operative time; AML – angiomyolipoma; RCC – renal cell carcinoma; LOS – length of hospital stay; Cr – creatinine.

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Management of Nontraumatic Spontaneous Renal Hemorrhage (Wünderlich Syndrome) through Robotic-Assisted Laparoscopic Nephrectomy: A Case Series

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