Objective: To review the role of non operative management in paediatric Grade V renal trauma case and importance of placement of ureteral stent. Case Presentation: 9 year old male child presented with h/o fall from height sustaining injury over the right side of abdomen. On examination he had abdominal tenderness, tachychardia with B.P. 100/60 mm of Hg. CT-Angiography showed grade V upper polar renal vascular injury with complete shearing of the upper pole of the right kidney with urinary extravasation. Patient was managed conservatively with bed rest, intravenous fluids and underwent DJ stenting. After one month of injury, repeat CT angio showed no urinary extravasation with intact renal parenchymal architecture and good functioning lower pole of the right kidney. Conclusion: Non operative management is possible in selected cases in children with Grade V renal trauma patients. Patients with increasing urinary extravasation can be salvaged with ureteral stents. 

Key words: Paediatric; Urinary extravasation; Non- perative; Ureteral stent.