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.