Non-traumatic spontaneous subcapsular renal hematoma, also known as Wünderlich syndrome, is a rare entity that is associated with some renal pathology, mainly tumors or cysts, anticoagulant drugs administration or unknown reasons. We present a case of an elderly patient that presented with spontaneous subcapsular renal hematoma and complete deterioration of his kidney due to severe pyonephrosis that was managed conservatively.
Key words: Pyonephrosis, Subcapsular hematoma, Spontaneous renal hematoma, Wünderlich syndrome
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