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?
Nephrectomy
Isolate the proximal renal vessels, open the Gerota's fascia and explore the kidney
Perform on table retrograde pyelography
Perform on table angiography
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.)