[45].
Delayed renal bleeding can occur in up to 23.5% of patients who undergo NOM [46]. This usually occurs within the first seven days after injury and the majority of these cases can be managed by angiography with embolization. Renin‐mediated hypertension (Page kidney) from chronic ischemia or compressive hematoma is rare.
Conclusion
During his analysis of GU trauma during World War II, Army urologist and veteran James Kimbrough stated that “conservative treatment has proved sufficient in renal damage [47].” Indeed, the management pendulum of penetrating renal trauma seems to be returning to what was discovered during the two World Wars. Urologists must be prepared with a treatment algorithm should patients fail NOM or have complications, including renorrhaphy and nephrectomy.
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