Authors : Mohsen Kalhor, S. Ameneh Sabzi and Mehdi Molaei
Abstract: Non-operative management of blunt renal injuries has become the standard of care. However, a routine surgical exploration remains the standard practice for high grade penetrating renal injuries. The concept of selective non-operative management for penetrating renal injuries has remained largely unexplored and operation is considered as the standard of care by most surgeons. We report, a case of stab wound with grade IV, renal injury who non-operatively managed successfully. We present a case of grade IV, renal injury after stab wound to left paraspinal area in a 26 years old Iranian male. The clinical and radiographic findings are presented along with the patient’s conservative hospital course. We suggest that the management of high grades renal injury due to stab wound in hemodinamically stable patients can be non-operatively. But complete radiographic staging and close clinical observation are necessary.
Mohsen Kalhor, S. Ameneh Sabzi and Mehdi Molaei, 2011. Successful Non-operative Management of Grade IV Penetrating Renal Injury: A Case Report. Surgery Journal, 6: 1-3.