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{
    "pk": 33528,
    "title": "Idiopathic Atraumatic Renal Hemorrhage: A Case Report ",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: Wunderlich syndrome (WS) is a rare condition characterized by spontaneous, atraumatic renal hemorrhage. It often presents with non-specific symptoms and is typically diagnosed through computed tomography (CT). The most common presentation of WS includes the Lenk triad, which consists of flank pain, a palpable flank mass, and hypovolemic shock. If diagnosis and treatment are delayed, WS can rapidly progress and lead to unfavorable patient outcomes.</p>\n<p><strong>Case Report: </strong>A 65-year-old male presented to the emergency department with severe sudden-onset left flank pain with subsequent CT angiogram demonstrating an actively bleeding left renal hematoma. The patient was managed conservatively with supportive care. His vitals remained stable, and he did not require any surgical or vascular interventions.</p>\n<p><strong>Conclusion</strong>: Wunderlich syndrome is a spontaneous renal or perinephric hemorrhage occurring in the absence of trauma; it is rarely included in the differential for patients with flank pain but can become life-threatening when not recognized.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "spontaneous renal hemorrhage"
        },
        {
            "word": "Wünderlich syndrome"
        },
        {
            "word": "Emergent causes of flank pain"
        },
        {
            "word": "atraumatic renal hemorrhage"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1342j657",
    "frozenauthors": [
        {
            "first_name": "Tabitha",
            "middle_name": "",
            "last_name": "Ranson",
            "name_suffix": "",
            "institution": "Kansas City University College of Medicine, Department of Emergency Medicine, Joplin, Missouri",
            "department": ""
        },
        {
            "first_name": "Zachary",
            "middle_name": "",
            "last_name": "Ostapowicz",
            "name_suffix": "",
            "institution": "Kansas City University College of Medicine, Department of Emergency Medicine, Joplin, Missouri",
            "department": ""
        },
        {
            "first_name": "Gregory",
            "middle_name": "",
            "last_name": "Ruddy",
            "name_suffix": "",
            "institution": "Kansas City University College of Medicine, Department of Emergency Medicine, Joplin, Missouri",
            "department": ""
        },
        {
            "first_name": "Leah",
            "middle_name": "",
            "last_name": "Joyner",
            "name_suffix": "",
            "institution": "Kansas City University College of Medicine, Department of Emergency Medicine, Joplin, Missouri; Mercy Hospital, Department of Emergency Medicine, Joplin, Missouri",
            "department": ""
        }
    ],
    "date_submitted": "2024-08-14T01:07:10.474000Z",
    "date_accepted": "2025-02-28T16:36:51.101000Z",
    "date_published": "2025-08-27T04:42:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/33528/galley/40134/download/"
        }
    ]
}