Wünderlich syndrome. Report of two cases with different presentation modalities

Abstract

Case reports: Case 1 is a male patient who presented with left lumbar pain and wanders to the emergency department. Case 2: a female patient is brought to the emergency department in hypovolemic shock. In both cases, it was decided to perform urgent surgical treatment to correct the hemorrhage due to the progressive deterioration of hemodynamics, the subsequent evolution was favorable.Relevance: Wünderlich syndrome is characterized by retropritoneal hemorrhage localized at the renal or perirenal level, which occurs sudden onset. Implications: The available evidence on this pathology is scarce because it is a little suspected medical emergency.Conclusion: Wünderlich syndrome presents relatively frequently in emergency departments and represents a diagnostic-therapeutic challenge.