Wunderlich syndrome can be seen in dialysis patients. It is spontaneous non traumatic renal hemorrhage. Usually this is seen in angiomyolipomas and sometimes even in urothelial cell cancers. Some cancers are common in dialysis patients, renal cell or urothelial can be seen. Usually the syndrome presents with back pain, flank pain or hip pain. CT scan can diagnosis it. If they are not making urine, blood in the urine might not be noted. A high index of suspicion in at-risk patients therefore is important to timely identify and manage this disease.
A recent AJKD article describes this entity.
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