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Case Reports in Urology
Volume 2013, Article ID 482320, 5 pages
http://dx.doi.org/10.1155/2013/482320
Case Report

Delayed Nephron Sparing Surgery for Grade IV Renal Injury

Department of Urology, University of Texas Medical School at Houston, 6431 Fannin Street, Houston, TX 77030, USA

Received 15 March 2013; Accepted 19 April 2013

Academic Editors: N. Eke and E. Tuzel

Copyright © 2013 Parth K. Shah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Renal injuries are a common occurrence in many trauma cases. The management of these cases varies, but, currently, a conservative, nonoperative approach is the norm. In cases where an operative intervention may be necessary, emergency total nephrectomies are the most commonly performed procedure reported in the literature. There is a dearth in the reporting of other surgical approaches, especially the delayed nephron sparing approach. Here, we present a unique case of a 29-year-old male that underwent a delayed nephron sparing nephrectomy for a persistent urinoma despite appropriate noninvasive therapy.