Wunderlich syndrome secondary to renal artery angioplasty: A case report

Wunderlich syndrome is an uncommon pathology that is characterized by spontaneous hemorrhage in the subcapsular and perirenal spaces. We present the case of a 76-year-old woman who developed abdominal pain associated with hypotension after undergoing percutaneous transluminal angioplasty (PTA), with stenting in the right renal artery by means of puncture of the left brachial artery. An extensive retroperitoneal hematoma was identified on emission tomography in the topography of the right kidney, thus corroborating the diagnostic hypothesis of the aforementioned syndrome. As an outcome of the case, a surgical reapproach was required to drain a hematoma and hemostatic suture to resolve the condition.