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CASE REPORT
Life-threatening Wunderlich's syndrome with concurrent clopidogrel use
  1. Ned Kinnear1,
  2. Derek Barrry Hennessey1,
  3. Hannah Douglass-Molloy2,
  4. Greg Jack1
  1. 1Austin Hospital, Heidelberg, Victoria, Australia
  2. 2Royal Adelaide Hospital, Adelaide, South Australia, Australia
  1. Correspondence to Dr Ned Kinnear, ned.kinnear{at}gmail.com

Summary

Spontaneous non-traumatic renal haemorrhage, or Wunderlich's syndrome, is a rare but potentially life-threatening event. We present the case of a 63-year-old man on clopidogrel who became haemodynamically unstable as a result of this condition. Angioembolisation revealed the unusual finding of active bleeding from multiple distinct subsegmental renal vessels, for which haemostasis was successfully achieved by coil placement. The patient remains well and with near-normal renal function on follow-up.

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Footnotes

  • Contributors NK and DBH were involved in initial concept and manuscript drafting. HD-M and GJ were responsible for manuscript reviewing and supervision.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.