<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032018000300249</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dolor abdominal agudo y choque hipovolémico secundario a síndrome de Wünderlich]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute abdominal pain and hypovolemic shock secondary to Wünderlich syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Constantino]]></surname>
<given-names><![CDATA[Germán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 4 ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>16</volume>
<numero>3</numero>
<fpage>249</fpage>
<lpage>251</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032018000300249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032018000300249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032018000300249&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El síndrome de Wünderlich es una entidad poco frecuente, con sólo 300 casos descritos en la literatura; sus manifestaciones clínicas son variadas, caracterizadas principalmente por un dolor abdominal intenso en cualquiera de los flancos, aparición de una masa palpable y datos de choque hipovolémico. El diagnóstico se realiza mediante estudio de imagen, siendo la tomografía axial computarizada la de mayor valor. El tratamiento puede ser específico de acuerdo a cada caso, y puede ir desde una nefrectomía parcial hasta la nefrectomía radical.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The Wünderlich syndrome is a rare entity; there are only 300 cases in the literature; its clinical manifestations are usually intense abdominal pain in any of the flanks, the appearance of a palpable mass and the data of hypovolemic shock. The diagnosis is made by means of the image study and the computerized axial tomography of the highest value. The treatment can be specific according to each case and can range from partial to radical nephrectomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de Wünderlinch]]></kwd>
<kwd lng="es"><![CDATA[hematoma renal espontáneo]]></kwd>
<kwd lng="en"><![CDATA[Wünderlich Syndrome]]></kwd>
<kwd lng="en"><![CDATA[Spontaneous renal hematoma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guttilla]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Crestani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cattaneo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Zattoni]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Valotto]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Iafrate]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Wunderlich&#8217;s syndrome: three cases of acute spontaneous renal bleeding, conservately treated]]></article-title>
<source><![CDATA[Arch Ital Urol Androl]]></source>
<year>2013</year>
<volume>85</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>210-3</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beaumont-Camino]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jean-Louis]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Belzungegui-Otano]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Esain]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Jarauta]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Wünderlich syndrome: an unusual cause of flank pain]]></article-title>
<source><![CDATA[Am J Emerg Med]]></source>
<year>2011</year>
<volume>29</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>474.e1-3</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wen-Chih Chiu]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Shue-Ren]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Mei-Chen]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Yun-Te]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hong-Tai]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous perirenal hemorrhage due to non-traumatic renal artery pseudoaneurysm rupture successfully treated with angiographic embolization]]></article-title>
<source><![CDATA[J Emerg Crit Care Med]]></source>
<year>2011</year>
<volume>22</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>116-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rey]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[GS]]></given-names>
</name>
<name>
<surname><![CDATA[Domínguez]]></surname>
<given-names><![CDATA[FF]]></given-names>
</name>
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[IB]]></given-names>
</name>
<name>
<surname><![CDATA[Ojea]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Wünderlich: importancia del diagnóstico por imagen]]></article-title>
<source><![CDATA[Actas Urol Esp]]></source>
<year>2009</year>
<volume>33</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>917-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[BH]]></given-names>
</name>
<name>
<surname><![CDATA[Pureza]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Huan]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A tale of Wünderlich syndrome]]></article-title>
<source><![CDATA[J Surg Case Rep]]></source>
<year>2012</year>
<volume>2012</volume>
<numero>11</numero>
<issue>11</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blakeley]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Thiagalingham]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous retroperitoneal haemorrhage from a renal cyst: an unusual cause of haemorrhagic shock]]></article-title>
<source><![CDATA[Emerg Med J]]></source>
<year>2003</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>388</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Estrada]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Wünderlich, una causa de abdomen agudo infrecuente]]></article-title>
<source><![CDATA[Revista de Urología Colombiana]]></source>
<year>2010</year>
<volume>XIX</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>53-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Casian]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hematoma renal espontáneo y manejo con drenaje transcatéter por vía percutánea]]></article-title>
<source><![CDATA[Rev Hosp Jua Mex]]></source>
<year>2012</year>
<volume>79</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>58-61</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hemorragia renal no traumática (síndrome de Wünderlich). Informe de un caso]]></article-title>
<source><![CDATA[Rev Mex Urol]]></source>
<year>2005</year>
<volume>65</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>284-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Palomeque]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Calzado]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Saénz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hemoperitoneo secundario a síndrome de Wünderlich por angiomiolipoma con afectación colónica]]></article-title>
<source><![CDATA[Rev Arg de Urol]]></source>
<year>2013</year>
<volume>78</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>154-6</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez-Turati]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Merayo-Chalico]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández-Castellanos]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
<name>
<surname><![CDATA[Saavedra-Briones]]></surname>
<given-names><![CDATA[DV]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade-Platas]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Carreño]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Wünderlich causado por angiomiolipoma renal de pequeñas dimensiones]]></article-title>
<source><![CDATA[Rev Mex Urol]]></source>
<year>2009</year>
<volume>69</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>75-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
