<?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>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852019000500007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Wünderlich en el embarazo y puerperio, presentación de caso y revisión de la bibliografía]]></article-title>
<article-title xml:lang="en"><![CDATA[Wunderlich syndrome in pregnancy and the puerperium: A case presentation and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerda-Guerrero]]></surname>
<given-names><![CDATA[Enrique de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zubieta-Huerta]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Ponce]]></surname>
<given-names><![CDATA[Óscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Aguilera]]></surname>
<given-names><![CDATA[Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerda-Guerrero]]></surname>
<given-names><![CDATA[Juan Eladio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Salazar]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Téllez-Arce]]></surname>
<given-names><![CDATA[Gilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farías-Cortés]]></surname>
<given-names><![CDATA[Juan Diego]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabeza-Bucio]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Rivera]]></surname>
<given-names><![CDATA[José Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Occidente  ]]></institution>
<addr-line><![CDATA[Zapopan Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Medicina Reproductiva FILIUS  ]]></institution>
<addr-line><![CDATA[ San Luis Potosí]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma de San Luis Potosí  ]]></institution>
<addr-line><![CDATA[ San Luis Portosí]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Guadalajara  ]]></institution>
<addr-line><![CDATA[Zapopán Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<volume>79</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852019000500007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852019000500007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852019000500007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El síndrome de Wunderlich también llamado hematoma retroperitoneal espontáneo, es una complicación poco frecuente de etiología variada, En un 50% se asocia a un Angiomiolipoma Renal. El síntoma más común es el dolor abdominal y en un 20% de los pacientes se observa la característica Tríada de Lenk la cual consiste en: dolor abdominal (67%), masa abdominal palpable (54%) y shock hipovolémico (26%). El estudio diagnóstico de elección es la Tomografía Abdominal con contraste Intravenoso, sin embargo la angiografía tiene una utilidad diagnóstica y terapéutica en aquellos pacientes candidatos a angioembolización. El tratamiento de elección depende del estado clínico del paciente, la forma de presentación y en algunos casos la función renal previa, en la mayoría de las ocasiones consiste en Nefrectomía, sin embargo se han descrito casos de manejo exitoso con Nefrectomía parcial o Angioembolización selectiva en pacientes seleccionados: con evolución insidiosa, hemodinámicamente estables, afección en ambos riñones entre otras. Presentamos el caso de una paciente femenino de 19 años de edad, cursando los primeros dias de puerperio fisiológico, quien acude a urgencias por dolor abdominal y hematuria macroscópica, se encuentra en US abdominal una lesión heterogénea en el riñón derecho, se realiza TAC abdomen con contraste IV, se descubre una imagen sugerente de hematoma renal derecho, debido a un abrupto deterioro hemodinamico, se decide relizar nefrectomía derecha, el reporte de patología descarta la presencia de angiomiolipoma u alguna otra neoplasia o condición anormal en la pieza quirúrgica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Wunderlich syndrome, also known as spontaneous retroperitoneal hematoma, is a rare complication of varied etiology. Fifty percent of cases are associated with renal angiomyolipoma. The most common symptom is abdominal pain, and Lenk&#8217;s triad is seen in 20% of patients, which consists of abdominal pain (67%), palpable abdominal mass (54%), and hypovolemic shock (26%). The diagnostic study of choice is abdominal tomography with intravenous contrast medium. However, angiography has diagnostic and therapeutic usefulness in patients that are candidates for angioembolization. The treatment of choice depends on the clinical status of the patient, presentation of the pathology, and in some cases, previous kidney function. In the majority of cases, treatment is nephrectomy, but successful management through partial nephrectomy or selective angioembolization has been described in selected patients with insidious disease progression, hemodynamic stability, and involvement of both kidneys, among others. We present herein the case of a 19-year-old female, who in her first days of physiologic puerperium, came to the emergency room because of abdominal pain and gross hematuria. Abdominal ultrasound revealed a heterogeneous lesion on the right kidney. An abdominal computed axial tomography scan with intravenous contrast medium identified an image suggestive of a right renal hematoma. Due to the patient&#8217;s sudden hemodynamic decline, right nephrectomy was performed. The pathology study ruled out the presence of angiomyolipoma or other neoplasia or abnormal condition in the surgical specimen.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Wunderlich Syndrome]]></kwd>
<kwd lng="en"><![CDATA[Lenk´s triad]]></kwd>
<kwd lng="en"><![CDATA[spontaneous retroperitoneal hematoma]]></kwd>
<kwd lng="en"><![CDATA[Angiomyolipoma]]></kwd>
<kwd lng="es"><![CDATA[Wunderlich]]></kwd>
<kwd lng="es"><![CDATA[Hematoma Retroperitoneal Espontáneo]]></kwd>
<kwd lng="es"><![CDATA[Tríada de Lenk]]></kwd>
<kwd lng="es"><![CDATA[Angiomiolipoma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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