Author(s): Amer Hayat Khan*, Siti Rahmah Hashim Isa Merican, Syed Azhar Syed Sulaiman1, Noridarabiaton Akbar,Syed Haroon Khalid
Most renal trauma occurs as a result of blunt trauma. In 90% of cases, there will be renal injury due to blunt trauma. Renal injuries may be generally divided into 3 groups: renal laceration, renal contusion, and renal vascular injury. All subsets of renal trauma require a high index of clinical awareness, prompt evaluation and management. Renal injuries also may be classified into grade one to five. Current case report based on 17 years old Malay male brought by his friend to the emergency department due to motor vehicle accident. Patient was admitted to the ward for gross hematuria. Patient was underwent CT scan to rule out any abdominal injury. Patient was diagnosed having right renal injury grade IV. The management of blunt renal trauma has been evolving. Renal blunt injury managed conservatively with bed rest and frequent serum hemoglobin monitoring. Advances in imaging and staging of trauma, as well as in treatment strategies during the last 20 years, have decreased the need for surgical intervention and increased renal preservation.