Wunderlich syndrome

Discussion:

Wunderlich syndrome refers to spontaneous nontraumatic subcapsular renal hemorrhage. It is characterized by Lenk's triad (acute flank pain, flank mass, and hypovolemic shock). Angiomyolipomas are one of the commonest causes of Wunderlich syndrome. 

In this case we have findings in multiple organs

Added to the history of a "benign" brain tumor, these findings suggest that this patient has tuberous sclerosis (TS).

A subseptate uterus is also noted, which is not associated with TS but a developmental anomaly.

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