Wunderlich Syndrome with symptoms of septic shock as the first manifestation of renal cell carcinoma. Case report

Abstract

Spontaneous bleeding from the kidney parenchyma manifested as Wunderlich syndrome is extremely rare. The most common cause of bleeding is angiomiolipoma. Less often are drug-induced vasculitis, kidney cancer, pheochromocytoma or renal cyst. We present the case of 40-year old man with symptoms of septic shock due to infected kidney haematoma as the first symptom of renal cell carcinoma.