{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T12:02:20Z","timestamp":1776600140230,"version":"3.51.2"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,29]]},"DOI":"10.7759\/cureus.106094","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T06:12:05Z","timestamp":1774851125000},"source":"Crossref","is-referenced-by-count":1,"title":["W\u00fcnderlich Syndrome Without Classic Signs: A Case of Spontaneous Retroperitoneal Hemorrhage From a Ruptured Renal Angiomyolipoma"],"prefix":"10.7759","author":[{"given":"C\u00e9sar","family":"Andino-Col\u00f3n","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Nu\u00f1ez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yolymar","family":"Poventud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Mercado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.04.045","article-title":"Spontaneous perirenal hemorrhage (Wunderlich syndrome): an analysis of 28 cases","volume":"37","author":"Kim JW","year":"2019","unstructured":"Kim JW, Kim JY, Ahn ST, Park TY, Oh MM, Moon DG, Park HS. Spontaneous perirenal hemorrhage (Wunderlich syndrome): an analysis of 28 cases. Am J Emerg Med. 2019, 37:45-7. 10.1016\/j.ajem.2018.04.045","journal-title":"Am J Emerg Med"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14092986","article-title":"Analysis of 46 cases of spontaneous perirenal hemorrhage: a retrospective observational study","volume":"14","author":"Jo SB","year":"2025","unstructured":"Jo SB, Ahn ST, Oh MM, Park SJ, Yoon YH, Kim JW, Kim JY. Analysis of 46 cases of spontaneous perirenal hemorrhage: a retrospective observational study. J Clin Med. 2025, 14:2986. 10.3390\/jcm14092986","journal-title":"J Clin Med"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-200204000-00006","article-title":"Etiology of spontaneous perirenal hemorrhage: a meta-analysis","volume":"167","author":"Zhang JQ","year":"2002","unstructured":"Zhang JQ, Fielding JR, Zou KH. Etiology of spontaneous perirenal hemorrhage: a meta-analysis. J Urol. 2002, 167:1593-6. 10.1097\/00005392-200204000-00006","journal-title":"J Urol"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0b013e3182203c5e","article-title":"Wunderlich syndrome. Cross-sectional imaging review","volume":"35","author":"Katabathina VS","year":"2011","unstructured":"Katabathina VS, Katre R, Prasad SR, Surabhi VR, Shanbhogue AK, Sunnapwar A. Wunderlich syndrome. Cross-sectional imaging review. J Comput Assist Tomogr. 2011, 35:425-33. 10.1097\/RCT.0b013e3182203c5e","journal-title":"J Comput Assist Tomogr"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000027549","article-title":"Bilateral spontaneous massive renal hemorrhage in a peritoneal dialysis patient. A case report","volume":"100","author":"Wen TC","year":"2021","unstructured":"Wen TC, Lin KH, Chiu PF, Lin KS, Lee CW, Chan CP. Bilateral spontaneous massive renal hemorrhage in a peritoneal dialysis patient. A case report. Medicine (Baltimore). 2021, 100:e27549. 10.1097\/MD.0000000000027549","journal-title":"Medicine (Baltimore)"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1404446","article-title":"Ultrasonography versus computed tomography for suspected nephrolithiasis","volume":"371","author":"Smith-Bindman R","year":"2014","unstructured":"Smith-Bindman R, Aubin C, Bailitz J, et al.. Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med. 2014, 371:1100-10. 10.1056\/NEJMoa1404446","journal-title":"N Engl J Med"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.09.008","article-title":"Accuracy of reduced-dose computed tomography for ureteral stones in emergency department patients","volume":"65","author":"Moore CL","year":"2015","unstructured":"Moore CL, Daniels B, Ghita M, et al.. Accuracy of reduced-dose computed tomography for ureteral stones in emergency department patients. Ann Emerg Med. 2015, 65:189-98.e2. 10.1016\/j.annemergmed.2014.09.008","journal-title":"Ann Emerg Med"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.4103\/jmu.jmu_12_23","article-title":"Focused assessment with sonography for trauma (FAST)","volume":"31","author":"Savoia P","year":"2023","unstructured":"Savoia P, Jayanthi SK, Chammas MC. Focused assessment with sonography for trauma (FAST). J Med Ultrasound. 2023, 31:101-6. 10.4103\/jmu.jmu_12_23","journal-title":"J Med Ultrasound"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.96943","article-title":"Role of USG and CT in the evaluation of abdominal trauma","volume":"17","author":"Vc A","year":"2025","unstructured":"Vc A, Yeli RK, N H, Sheelavant N. Role of USG and CT in the evaluation of abdominal trauma. Cureus. 2025, 17:e96943. 10.7759\/cureus.96943","journal-title":"Cureus"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-014-0482-0","article-title":"Spontaneous non-aortic retroperitoneal hemorrhage: etiology, imaging characterization and impact of MDCT on management. A multicentric study","volume":"120","author":"Caleo O","year":"2015","unstructured":"Caleo O, Bocchini G, Paoletta S, et al.. Spontaneous non-aortic retroperitoneal hemorrhage: etiology, imaging characterization and impact of MDCT on management. A multicentric study. Radiol Med. 2015, 120:133-48. 10.1007\/s11547-014-0482-0","journal-title":"Radiol Med"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2011.06.006","article-title":"Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome","volume":"43","author":"Sunga KL","year":"2012","unstructured":"Sunga KL, Bellolio MF, Gilmore RM, Cabrera D. Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. J Emerg Med. 2012, 43:e157-61. 10.1016\/j.jemermed.2011.06.006","journal-title":"J Emerg Med"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.07.126","article-title":"Update on the diagnosis and management of renal angiomyolipoma","volume":"195","author":"Flum AS","year":"2016","unstructured":"Flum AS, Hamoui N, Said MA, et al.. Update on the diagnosis and management of renal angiomyolipoma. J Urol. 2016, 195:834-46. 10.1016\/j.juro.2015.07.126","journal-title":"J Urol"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.01.048","article-title":"Natural history of renal angiomyolipoma (AML): most patients with large AMLs >4 cm can be offered active surveillance as an initial management strategy","volume":"70","author":"Bhatt JR","year":"2016","unstructured":"Bhatt JR, Richard PO, Kim NS, et al.. Natural history of renal angiomyolipoma (AML): most patients with large AMLs >4 cm can be offered active surveillance as an initial management strategy. Eur Urol. 2016, 70:85-90. 10.1016\/j.eururo.2016.01.048","journal-title":"Eur Urol"},{"key":"ref14","article-title":"Management of sporadic renal angiomyolipomas: a systematic review of available evidence to guide recommendations from the European Association of Urology Renal Cell Carcinoma Guidelines Panel","volume":"3","author":"Fern\u00e1ndez-Pello S","year":"2020","unstructured":"Fern\u00e1ndez-Pello S, Hora M, Kuusk T, et al.. Management of sporadic renal angiomyolipomas: a systematic review of available evidence to guide recommendations from the European Association of Urology Renal Cell Carcinoma Guidelines Panel. Eur Urol Oncol. 2020, 3:57-72.","journal-title":"Eur Urol Oncol"},{"key":"ref15","article-title":"Evaluation of acute abdominal pain in adults","volume":"77","author":"Cartwright SL","year":"2008","unstructured":"Cartwright SL, Knudson MP. Evaluation of acute abdominal pain in adults. Am Fam Physician. 2008, 77:971-978.","journal-title":"Am Fam Physician"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-023-04386-w","article-title":"Shock index as predictor of massive transfusion and mortality in patients with trauma: a systematic review and meta-analysis","volume":"27","author":"Carsetti A","year":"2023","unstructured":"Carsetti A, Antolini R, Casarotta E, et al.. Shock index as predictor of massive transfusion and mortality in patients with trauma: a systematic review and meta-analysis. Crit Care. 2023, 27:85. 10.1186\/s13054-023-04386-w","journal-title":"Crit Care"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/466154-wnderlich-syndrome-without-classic-signs-a-case-of-spontaneous-retroperitoneal-hemorrhage-from-a-ruptured-renal-angiomyolipoma","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T06:12:08Z","timestamp":1774851128000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/466154-wnderlich-syndrome-without-classic-signs-a-case-of-spontaneous-retroperitoneal-hemorrhage-from-a-ruptured-renal-angiomyolipoma"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,29]]},"references-count":16,"URL":"https:\/\/doi.org\/10.7759\/cureus.106094","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,29]]}}}