title: Isolated Grade 5 Renal Trauma in a Hemodynamically Stable Patient.
abstract: Isolated grade 5 renal trauma in a hemodynamically stable patient is rare. It is therefore unsurprising there are conflicting recommendations on management of these injuries from authorities including the AUA, EAU and SIU. We present a 26-year-old male with flank pain following a 3-m fall whilst bicycle riding off a ramp, who was found to have an isolated grade 5 renal injury (shattered kidney). He was managed with early angio-embolization and subsequent nephrectomy due to ongoing bleeding. Further reports of clinician experience with this type of renal injury are needed to clarify best practice in management.
authors.affiliation: Department of Urology, St Vincent's Hospital, Sydney, Australia.
authors.forename: Nandu
authors.initials: N
authors.lastname: Dantanarayana
authors.affiliation: Department of Urology, St Vincent's Hospital, Sydney, Australia.
authors.forename: Francis
authors.initials: F
authors.lastname: Ting
authors.affiliation: Department of Urology, St Vincent's Hospital, Sydney, Australia.
authors.forename: James
authors.initials: J
authors.lastname: Symons
authors.affiliation: Department of Vascular Surgery, St Vincent's Hospital, Sydney, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Evans
authors.affiliation: Department of Vascular Surgery, St Vincent's Hospital, Sydney, Australia.
authors.forename: Antony
authors.initials: A
authors.lastname: Graham
keywords: AAST, American Association for the Surgery of Trauma; AUA, American Urological Association; Angio-embolization; CT, Computer Tomography; EAU, European Association of Urology; FAST, Focused Assessment with Sonography of Trauma; Nephrectomy; Renal injury; SIU, Société Internationale d'Urologie; Trauma