{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T19:45:04Z","timestamp":1781120704479,"version":"3.54.1"},"reference-count":0,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Practice and Cases in Emergency Medicine"],"abstract":"<p>Introduction: W&amp;uuml;nderlich syndrome (WS) refers to subcapsular, perirenal, or pararenal hemorrhage due to non-traumatic and iatrogenic conditions. Neoplasms, vascular disease, renal etiology, and anticoagulant use are underlying risk factors. Case Report: We describe a case of WS in a 79-year-old male who was undergoing hemodialysis, which resulted in hemorrhagic shock requiring multiple transfusions and embolization by interventional radiology. Conclusion: Most commonly, patients present with \ufb02ank pain; a computed tomography with contrast of the abdomen is essential for diagnosis. Surgical intervention is considered in hemodynamically unstable patients. Conservative therapy and intravenous resuscitations with blood products are considered a priority in hemodynamically stable patients.<\/p>","DOI":"10.5811\/cpcem.1891","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T14:56:17Z","timestamp":1715698577000},"source":"Crossref","is-referenced-by-count":2,"title":["A Case Report of W\u00fcnderlich Syndrome Causing Massive Hemorrhage During Hemodialysis"],"prefix":"10.5811","volume":"8","author":[{"given":"Karalee","family":"Bluhm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravali","family":"Kundeti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Maguire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2024,5,14]]},"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"link":[{"URL":"https:\/\/escholarship.org\/content\/qt7v20b69h\/qt7v20b69h.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T18:55:16Z","timestamp":1776279316000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/7v20b69h"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,14]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,8,9]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.1891","relation":{},"ISSN":["2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,14]]}}}