The kidney is the organ most commonly associated with Urological trauma and is involved in
1–20% of blunt trauma cases The severity of renal trauma can range significantly and the grading system of the American Association for Surgery of Trauma (AAST) classifying Renal Injuries as Grades I–V is followed universally and the management options vary with the grade of Injury. The goal of renal trauma management is preservation of functional renal parenchyma with minimal morbidity and Nonoperative management has become more commonplace in recent times, with the advent of interventional radiology and improvements in imaging. However, emergency nephrectomy remains the gold standard treatment for acute uncontrollable renal haemorrhage

In this paper discussion about renal trauma in children and the role of conservative management is out–lined along with a case history of a 12 year old girl with a history of trivial fall over a stone who presented with compliants of abdominal pain and no other clinical signs of renal injury and was diagnosed radiologically as Grade IV renal injury  with urinary extravasation. She was managed conservatively and was treated by Internal ureteral stenting and Blood Transfusion and she became better and was discharged.The child is on regular follow up and her renal function has improved well.