Suggest treatment for internal injury in the right kidney
Patient: My nephew, 8years old had an internal injury on his right kidney. Doctors did a surgery on his tummy to remove the blood from inside. after 2 weeks the kid started complaining on pain in the tummy. after an ultra sound examination, doctors found that haematoma around the right kidney had increased & there was free fluid around the haematoma and in the pelvis.     - Is there any reason to remove the kidney?    - What treatment should he be given?  Rgds, Esmail Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.  Kidney hematoma are very common after kidney surgery or biopsy, treatment of renal hematoma depends upon the size of hematoma, if it is big enough causing the pressure symptoms over kidney then it should be removed and it can be easily removed by transcutaneous aspiration of hematoma( by passing a large-bore needle through skin). Before removing the kidney a doctor should make sure that the kidney function is lost or damaged beyond repair and keeping the kidney in the body would be harmful, once these questions are answered only then the doctor should go for kidney removal.   Hope I have answered your query. Let me know if I can assist you further.