Shattered kidney: a case report highlighting the use of conservative interventions in high-grade pediatric renal trauma

Renal injury is relatively uncommon among pediatric patients who incur blunt abdominal trauma. Noninvasive management is recommended for hemodynamically stable patients with a renal injury; however, there is limited data on the use of endourologic procedures in the management of pediatric renal trauma. We present a pediatric patient with a grade 4 renal laceration treated with a ureteral stent and percutaneous drain placement, supporting the use of minimally invasive strategies in select pediatric patients with high-grade renal injuries.