Abstract A case of grade IV renal trauma is reported and the literature reviewed. A 29-year-old man was admitted in an emergency setting for a grade IV renal and splenic trauma as a result of a motorcycle accident. Since the patient was haemodynamically stable and the retroperitoneal haematoma was neither expanding nor pulsating, a conservative approach was adopted and the renal trauma was managed with interventional radiology. The case shows that major renal traumas can be usefully managed by non-operative treatment, necessarily consisting in a mutidisciplinary approach.
Conservative aproach to IV grade renal trauma / Assenza, Marco; Romagnoli, Francesco; Caramanico, Luciano; Tomei, B; Bartolucci, Piero; Rengo, Mario; Modini, Claudio. - In: CHIRURGIA ITALIANA. - ISSN 0009-4773. - May-Jun;55(3)(2003), pp. 445-450.