In-flight Valsalva maneuver induced life-threatening Wünderlich syndrome.
Am J Emerg Med
; 26(6): 732.e5-6, 2008 Jul.
Article
em En
| MEDLINE
| ID: mdl-18606339
ABSTRACT
Valsalva maneuver, a preferred method for induction of a complex cardiovascular response, is often performed to relieve ear block during descent in aviation. We described a rare case of Wünderlich syndrome presenting with characteristic clinical and imaging features of ruptured renal angiomyolipoma (AML) induced by a Valsalva maneuver. Renal AML heralded by unbridled hemorrhage is a disastrous entity that can be easily overlooked. Early recognition by exquisite imaging studies along with a raised clinical awareness can forestall unnecessary surgical exploration, preserve renal function, and avoid a life-threatening catastrophe.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Aeronaves
/
Manobra de Valsalva
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Angiomiolipoma
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Neoplasias Renais
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article