Exophytic Renal Angiomyolipoma Unmasked: A Case of Wunderlich's Syndrome

Wunderlich syndrome (WS), characterized by spontaneous bleeding into the kidney's surrounding spaces, is a rare but potentially life -threatening condition. This report presents a case of WS secondary to an exophytic renal angiomyolipoma. A 35 -yearold female presented with progressive left flank pain, leukocytosis, and normal hemoglobin levels. Contrast -enhanced Computed Tomography revealed a large fat -containing tumor with active contrast extravasation and hematoma formation over the right perirenal space. Emergency total nephrectomy was performed, confirming the diagnosis of renal angiomyolipoma. WS represents a diagnostic challenge necessitating prompt identification and intervention to mitigate its potentially severe complications. Multidisciplinary collaboration and advanced imaging techniques are crucial for optimal management and patient outcomes in WS cases.