Unsuspected Wilms Tumor

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Abstract
THE management of renal trauma is a controversial subject. Some urologists routinely advocate a conservative approach, particularly in children, unless there is uncontrolled, life-threatening hemorrhage. Others contend that patients with a significant amount of parenchymal damage should have surgical reconstruction of the kidney to preserve the maximum amount of functional renal tissue. Even among those who advocate more aggressive therapy, there is debate about the timing of operation. However, most would agree that reconstruction of the traumatized kidney is facilitated if surgery is delayed from three to five weeks after injury, when there is less bleeding and the nonviable tissues . . .

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