Renal laceration and active bleeding from snowboarding injury

Discussion:

Surprisingly large injury of the right kidney after falling while snowboarding, with an upper pole laceration and active extravasation resulting in a large amount of perinephric/retroperitoneal bleeding. 

This patient was successfully managed non-operatively with obersvation and blood transfusion. Presumably the bleeding was tamponaded by being confined to the retroperitoneum. 

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