{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T14:00:35Z","timestamp":1789912835292,"version":"4.0.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>W\u00fcnderlich syndrome, or spontaneous non-traumatic renal hemorrhage, is a rare and potentially life-threatening condition. We report the case of a 52-year-old woman presenting with right upper quadrant pain radiating to the lumbar region, bilious vomiting, and positive Murphy\u2019s and Giordano\u2019s signs, initially suggesting acute biliary disease. Ultrasonography demonstrated cholelithiasis and suspected choledocholithiasis; however, computed tomography urography revealed a large right-sided subcapsular and perirenal hematoma associated with a renal pelvic calculus. Because of the hematoma volume and suspicion of malignancy, nephrectomy was performed. Histopathological examination demonstrated an organized subcapsular hematoma with chronic inflammatory changes and no evidence of neoplasia. This case highlights the diagnostic challenge posed by atypical presentations of W\u00fcnderlich syndrome and underscores the essential role of computed tomography in distinguishing spontaneous renal hemorrhage from more common causes of acute abdominal pain.<\/jats:p>","DOI":"10.1093\/jscr\/rjag839","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:12:22Z","timestamp":1788520342000},"source":"Crossref","is-referenced-by-count":0,"title":["W\u00fcnderlich syndrome mimicking acute cholecystitis: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1598-202X","authenticated-orcid":false,"given":"Juan A","family":"D\u00edaz-Esquivel","sequence":"first","affiliation":[{"name":"Department of General Surgery, Hospital General de Tlaxcala \u201cLic. Anselmo Cervantes Hern\u00e1ndez,\u201d Secretar\u00eda de Salud , Tlaxcala, Z.C. 90606 ,","place":["M\u00e9xico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavio J","family":"S\u00e1nchez-Andrade","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital General de Tlaxcala \u201cLic. Anselmo Cervantes Hern\u00e1ndez,\u201d Secretar\u00eda de Salud , Tlaxcala, Z.C. 90606 ,","place":["M\u00e9xico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas A","family":"Payan-Rosete","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital General de Tlaxcala \u201cLic. Anselmo Cervantes Hern\u00e1ndez,\u201d Secretar\u00eda de Salud , Tlaxcala, Z.C. 90606 ,","place":["M\u00e9xico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian R","family":"Sancho-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital General de Tlaxcala \u201cLic. Anselmo Cervantes Hern\u00e1ndez,\u201d Secretar\u00eda de Salud , Tlaxcala, Z.C. 90606 ,","place":["M\u00e9xico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"S\u00e1nchez-Lara","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology, Hospital General de Tlaxcala \u201cLic. Anselmo Cervantes Hern\u00e1ndez,\u201d Secretar\u00eda de Salud , Tlaxcala, Z.C. 90606 ,","place":["M\u00e9xico"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"2026092009062184700_ref1","first-page":"493","article-title":"S\u00edndrome de W\u00fcnderlich","volume":"68","author":"Sales","year":"2000","journal-title":"Hemorragia renal espont\u00e1nea Cir Esp"},{"key":"2026092009062184700_ref2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.220172","article-title":"Wunderlich syndrome: comprehensive review of diagnosis and management","author":"Shah","year":"2023"},{"key":"2026092009062184700_ref3","doi-asserted-by":"crossref","first-page":"1173386","DOI":"10.3389\/fmed.2023.1173386","article-title":"Delayed bilateral spontaneous renal rupture after surgery for unilateral upper ureteral calculi: a case report","volume":"10","author":"Tang","year":"2023","journal-title":"Front Med (Lausanne)"},{"key":"2026092009062184700_ref4","doi-asserted-by":"publisher","first-page":"311","DOI":"10.23938\/ASSN.0967","article-title":"S\u00edndrome de W\u00fcnderlich: a prop\u00f3sito de un Caso","volume":"44","author":"P\u00e9rez","year":"2021","journal-title":"An Sist Sanit Navar"},{"key":"2026092009062184700_ref5","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1067\/j.cpradiol.2020.12.002","article-title":"Wunderlich syndrome: wonder what it is","volume":"51","author":"Parmar","year":"2022","journal-title":"Curr Probl Diagn Radiol"},{"key":"2026092009062184700_ref6","doi-asserted-by":"crossref","first-page":"26","DOI":"10.22201\/fm.24484865e.2021.64.6.03","article-title":"S\u00edndrome de W\u00fcnderlich (hemorragia renal espont\u00e1nea) Reporte de un Caso","volume":"64","author":"Segura Gort\u00e1rez","year":"2021","journal-title":"Revista de la Facultad de Medicina"},{"key":"2026092009062184700_ref7","first-page":"162","article-title":"Manejo conservador de hematoma renal subcapsular espont\u00e1neo","volume":"9","author":"Rodriguez","year":"2020","journal-title":"Revista Cubana de Urolog\u00eda"},{"key":"2026092009062184700_ref8","doi-asserted-by":"publisher","DOI":"10.48193\/revistamexicanadeurologa.v79i2.479","article-title":"Hematoma renal espont\u00e1neo. Reporte de serie de casos","author":"Garza","year":"2020","journal-title":"Rev Mex Urol"},{"key":"2026092009062184700_ref9","doi-asserted-by":"publisher","first-page":"e2023073","DOI":"10.23750\/abm.v94i3.14087","article-title":"Hypovolemic shock due to Wunderlich syndrome (spontaneous renal haemorrhage): a case report and literature review","volume":"94","author":"Vercelli","year":"2023","journal-title":"Acta Biomed"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag839\/71237324\/rjag839.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag839\/71237324\/rjag839.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T13:06:34Z","timestamp":1789909594000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag839\/8818217"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag839","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag839"}}