• Katrina Harper and Kaushal H Shah.
• Department of Emergency Medicine, Ichan School of Medicine at Mount Sinai, New York, New York 10029, USA.
• J Emerg Med. 2013 Sep 1;45(3):400-4.

BackgroundThe kidney is the third most common solid organ injury in blunt abdominal trauma. The preferred treatment of blunt kidney injury varies according to grade of severity, with a preference for non-operative management in most instances.DiscussionWe examine an unusual case of blunt renal trauma. In this case, our patient presented with severe flank pain and hematuria after a game of softball. Our focused abdominal sonography for trauma revealed fluid in the splenorenal recess concerning for intra-abdominal injury, and subsequent abdominal computed tomography confirmed a grade IV kidney laceration.ConclusionOur patient was managed medically despite his high grade of injury. This article reviews the diagnosis and management of blunt renal trauma and highlights the fact that despite significant injury, a patient can go on to do well with conservative management alone.Copyright © 2013 Elsevier Inc. All rights reserved.

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