Renal trauma is best treated by:
A. Observation and supportive measuresB. Early drainage and perirenal haematoma
C. Heminephrectomy
D. Nephrostomy
Answer. A. Observation and supportive measures
Conservative treatment of closed renal trauma is usually successful but appropriate measures must be instituted without delay.Surgical exploration is necessary in less than 10% of closed injuries and is indicated if either there are signs of progressive blood loss or there is an expanding mass in the loin. Approach should be trans-peritoneal.
