@Article{,
AUTHOR = {Clarissa M. Gurbani, Vincent Khor, Jeffrey J. Leow, Melissa H.W. Tay, Yew-Lam Chong},
TITLE = {Wunderlich syndrome secondary to cyst rupture and concurrent anticoagulation},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {27},
YEAR = {2020},
NUMBER = {3},
PAGES = {10270--10272},
URL = {http://www.techscience.com/CJU/v27n3/60404},
ISSN = {1488-5581},
ABSTRACT = {Wunderlich syndrome (WS) is a rare triad of flank pain, 
flank mass and hypovolemic shock and is classically 
attributed to angiomyolipomata or neoplasms. Treatment 
is guided by clinical severity: conservative, selective 
arterial embolization, or nephrectomy. We report an 
atypical case of a 69-year old man with a pre-existing 9 cm left renal tumor who developed WS secondary 
to anticoagulation and simple cyst rupture from 
his contralateral kidney, complicated by abdominal 
compartment syndrome with hemodynamic instability 
despite inotropic support and robust resuscitation. Early 
recognition and source control via radical nephrectomy 
were essential in securing a positive outcome.},
DOI = {}
}