Nonoperative Treatment of Major Blunt Renal Lacerations with Massive and Persistent Urinary Extravasation
Urinary extravasation with dye visualized in the ureter was seen on an excretory urogram (IVP) and computerized tomographic (CT) scan in a patient with multiple injuries following blunt renal trauma. The preferred treatment of blunt kidney injury varies according to grade of severity, with a preference for non-operative management in most instances. We reviewed a case of nonoperatively treated patients who presented with blunt renal trauma with major lacerations and urinary extravasation on initial staging computerized tomography.