{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T14:59:05Z","timestamp":1775573945808,"version":"3.50.1"},"reference-count":10,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Obstet Med"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>W\u00fcnderlich syndrome is defined as spontaneous, non-traumatic retroperitoneal bleeding, often associated with the rupture of a renal angiomyolipoma. Though rare, this condition is life-threatening if not treated promptly. The syndrome is particularly uncommon during pregnancy, posing significant challenges in diagnosis and management due to overlapping symptoms with other obstetric emergencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report the case of a 25-year-old woman at 37 weeks of gestation who presented to the emergency department with hypovolemic shock, left flank pain, and fetal bradycardia. A large retroperitoneal hematoma was discovered during an emergency caesarean section, later identified as secondary to a ruptured renal angiomyolipoma. Despite the critical presentation, a total nephrectomy was performed successfully, and both mother and child had favorable outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights the importance of considering W\u00fcnderlich syndrome in differential diagnoses of acute abdominal pain during pregnancy, especially in the presence of shock and renal masses. Prompt interdisciplinary management is crucial for positive maternal and fetal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1753495x251318777","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T03:36:56Z","timestamp":1739417816000},"page":"64-66","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous retroperitoneal hemorrhage due to rupture of a renal angiolipoma in a 37-week pregnancy: a case of W\u00fcnderlich syndrome"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3895-1595","authenticated-orcid":false,"given":"Mario","family":"Rodr\u00edguez Albarrac\u00edn","sequence":"first","affiliation":[{"name":"Pontifical Javeriana University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Agudelo Ca\u00f1on","sequence":"additional","affiliation":[{"name":"Pontifical Javeriana University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Montoya Hurtado","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, San Ignacio University Hospital, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda","family":"Manrique Porras","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, San Ignacio University Hospital, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"141","article-title":"Spontaneous retroperitoneal hemorrhage during pregnancy: W\u00fcnderlich syndrome","volume":"58","author":"Herrero Dur\u00e1n J","year":"2015","unstructured":"Herrero Dur\u00e1n J, L\u00f3pez-Presa D, P\u00e9rez D\u00edaz A, et al. Spontaneous retroperitoneal hemorrhage during pregnancy: W\u00fcnderlich syndrome. Progr Obstet Gynecol 2015; 58: 141\u2013145.","journal-title":"Progr Obstet Gynecol"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7796.75852"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.uroco.2015.12.009"},{"key":"e_1_3_2_5_2","first-page":"573","article-title":"Spontaneous retroperitoneal hemorrhage due to rupture of renal angiomyolipoma","volume":"15","author":"Rodr\u00edguez Collar TL","year":"2016","unstructured":"Rodr\u00edguez Collar TL, P\u00e9rez Espinosa AJ, Garc\u00eda G\u00f3mez ML. Spontaneous retroperitoneal hemorrhage due to rupture of renal angiomyolipoma. Case Present. Havana Mag Med Sci 2016; 15: 573\u2013581.","journal-title":"Case Present. 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Gynecol Obstet Investig 2014; 78: 204\u2013208.","journal-title":"Gynecol Obstet Investig"},{"issue":"8","key":"e_1_3_2_10_2","first-page":"543","article-title":"Spontaneous retroperitoneal hematoma and pregnancy","volume":"91","author":"Labarca","year":"2013","unstructured":"Labarca. Spontaneous retroperitoneal hematoma and pregnancy. Case Report. Cir Esp (Engl Ed) 2013; 91(8): 543\u2013544.","journal-title":"Case Report. 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