“…Under such circumstances when the ruptured kidney is grossly diseased and the other kidney is normal, nephrectomy should be undertaken. The use of intravenous indigo carmine may be helpful as a measure of the function of the opposite kidney at operation (de Beer and Hesse, 1966). For less clear-cut cases, simple drainage has been advocated (Glen, 1969), to allow renal function to be fully investigated, with the possibility of elective conservative surgery in some cases.…”