Following road traffic accident, a patient with vague abdominal pain was immediately taken to the operation theatre for emergency laparotomy. On examination, a large, contained, stable, non-pulsatile retroperitoneal hematoma was found on the right side. One-shot IVU shows a barely discernible nephrogram on the right side and prompt uptake and excretion on the left side. What should be the next step to be done?

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B. Isolate the proximal renal vessels, open the Gerota's fascia and explore the kidney. Ans. b. Isolate the proximal renal vessels, open the Gerota's fascia and explore the kidney-'With I7/e p281-286; Campbell 10th/1169-1178; Bailey 26th/1286-1288, 25th/1290-1291; JT Sturm, .IF Perry. Jr and A S Cass. Renal aery and vein injury following blunt trauma.Annals of surgery.Vol. 182 (6: 696-698.)

Answer

A. Nephrectomy

Answer

C. Perform on table retrograde pyelography

Answer

D. Perform on table angiography

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