title: [Conservative approach to IV grade renal trauma].
abstract: A case of grade IV renal trauma is reported and the literature reviewed. A 29-year-old man was admitted in an emergency setting for a grade IV renal and splenic trauma as a result of a motorcycle accident. Since the patient was haemodynamically stable and the retroperitoneal haematoma was neither expanding nor pulsating, a conservative approach was adopted and the renal trauma was managed with interventional radiology. The case shows that major renal traumas can be usefully managed by non-operative treatment, necessarily consisting in a mutidisciplinary approach.
authors.affiliation: Servizio Speciale Chirurgia d'Urgenza 1-2 Dipartimento di Chirurgia Pietro Valdoni Università degli Studi di Roma La Sapienza Policlinico Umberto I, Roma.
authors.forename: Marco
authors.initials: M
authors.lastname: Assenza
authors.forename: Francesco
authors.initials: F
authors.lastname: Romagnoli
authors.forename: Luciano
authors.initials: L
authors.lastname: Caramanico
authors.forename: Barbara
authors.initials: B
authors.lastname: Tomei
authors.forename: Piero
authors.initials: P
authors.lastname: Bartolucci
authors.forename: Mario
authors.initials: M
authors.lastname: Rengo
authors.forename: Claudio
authors.initials: C
authors.lastname: Modini
mesh_terms: D000328:Adult; D006801:Humans; D015601:Injury Severity Score; D007668:Kidney / Q000293:injuries*; D008297:Male; D014949:Wounds, Nonpenetrating / Q000628:therapy*