{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:25:49Z","timestamp":1756383949151,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,10,23]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2016-216171","type":"journal-article","created":{"date-parts":[[2016,11,9]],"date-time":"2016-11-09T08:57:58Z","timestamp":1478681878000},"page":"bcr2016216171","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Life-threatening Wunderlich's syndrome with concurrent clopidogrel use"],"prefix":"10.1136","volume":"2016","author":[{"given":"Ned","family":"Kinnear","sequence":"first","affiliation":[{"name":"Austin Hospital, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek Barrry","family":"Hennessey","sequence":"additional","affiliation":[{"name":"Austin Hospital, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Douglass-Molloy","sequence":"additional","affiliation":[{"name":"Royal Adelaide Hospital, Adelaide, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Jack","sequence":"additional","affiliation":[{"name":"Austin Hospital, Heidelberg, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,11,9]]},"reference":[{"key":"2025082702132973000_2016.nov08_2.bcr2016216171.1","first-page":"732.e5","article-title":"In-flight Valsalva maneuver induced life-threatening W\u00fcnderlich syndrome","volume":"26","author":"Lin","year":"2008","journal-title":"Am J Emerg Med"},{"doi-asserted-by":"publisher","key":"2025082702132973000_2016.nov08_2.bcr2016216171.2","DOI":"10.1016\/S0022-5347(05)65160-9"},{"doi-asserted-by":"publisher","key":"2025082702132973000_2016.nov08_2.bcr2016216171.3","DOI":"10.1148\/radiology.172.3.2672096"},{"key":"2025082702132973000_2016.nov08_2.bcr2016216171.4","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/S0022-5347(17)66981-7","article-title":"Spontaneous rupture of the kidney with perirenal hematoma","volume":"114","author":"McDougal","year":"1975","journal-title":"J Urol"},{"key":"2025082702132973000_2016.nov08_2.bcr2016216171.5","first-page":"65","article-title":"Contemporary management of renal trauma","volume":"13","author":"Shoobridge","year":"2011","journal-title":"Rev Urol"},{"key":"2025082702132973000_2016.nov08_2.bcr2016216171.6","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1007\/s00068-014-0404-9","article-title":"The epidemic of pre-injury oral antiplatelet and anticoagulant use","volume":"40","author":"Berndtson","year":"2014","journal-title":"Eur J Trauma Emerg Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-216171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:13:41Z","timestamp":1756286021000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-216171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,9]]},"references-count":6,"alternative-id":["10.1136\/bcr-2016-216171"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-216171","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,11,9]]}}}