# Spontaneous Renal Hemorrhage in a Diabetic Male Patient With Benign Prostatic Hyperplasia: A Case Report

## TL;DR

A diabetic man with benign prostatic hyperplasia experienced spontaneous kidney bleeding and required surgery, showing the importance of recognizing this rare condition.

## Contribution

This case report highlights Wunderlich syndrome in a patient with diabetes and BPH, emphasizing the need for surgical management and renal monitoring.

## Key findings

- A 62-year-old male with diabetes and BPH had a Grade III left renal hematoma requiring nephrectomy.
- Postoperative hematuria required close monitoring and nephrology consultation.
- Successful surgical management and discharge without complications were achieved.

## Abstract

Wunderlich syndrome, defined as spontaneous nontraumatic renal hemorrhage, is a rare clinical entity. We present a case of Wunderlich syndrome in a 62-year-old male patient with type 2 diabetes mellitus and benign prostatic hyperplasia (BPH) who presented with recurrent hematuria and was found to have a Grade III left renal hematoma. The patient underwent exploratory laparotomy and left nephrectomy. The postoperative course was marked by hematuria, necessitating close monitoring and management. Nephrology consultation was obtained, with recommendations for avoiding nephrotoxic agents and careful monitoring of renal function. The patient was eventually discharged without complications. This case highlights the importance of considering spontaneous renal hemorrhage in patients with diabetes and BPH, as well as the potential for successful surgical management.