Chromophobe Renal Cell Carcinoma Presented with Wunderlich Syndrome

Chromophobe renal cell carcinoma (RCC) like other types of RCCs maybe asymptomatic but few of them existing with rare presentations.
A male patient attended the emergency department of our center with sudden right flank pain. According to investigations performed, he had a tumor mass measuring 75 mm with extracapsular extension and heterogeneous enhancement in lower pole of the right kidney and a perinephric hematoma secondary to rupture of capsular vessels.
Wunderlich syndrome can be the first presentation of chromophobe RCC.