Conservative management of grade 5 renal injury: Case report

Abstract

Blunt trauma is a common cause of renal injuries, usually managed conservatively unless there's hemodynamic instability, which warrants surgery. We present a case of a 22-year-old male with isolated Grade 5 renal injury, diagnosed via CT scan after blunt trauma. Despite the severity, he was successfully treated without surgery through conservative management in the ICU, with frequent monitoring and stabilization of his condition. While the best approach for hemodynamically stable Grade 5 renal injuries remains debated, our case suggests that conservative management is a viable option when patients are carefully monitored for any signs of instability.

Keywords: Conservative management and grade 5 renal injury.

Fig. 1

Initial CT-scan, 1A and 1B are transverse plane, 1C: is sagittal plane, the figure shows multiple laceration of left kidney (shattered) with mid pole full thickness laceration dividing upper and lower with significant peri-renal hematoma.

Fig. 2

Follow up CT-scan, 2A and 2B are transverse planes which shows complete resolution of peirenal hematoma, no extravasation, there is mild hydronephrosis in the upper segment.2C is sagittal plane which shows healing of the two segments together.