A member asked:

Can anyone explain to me how a renal contusion, gross hematuria, and pain happens after a physical attack?

2 doctors weighed in across 2 answers

Renal contusion: Significant force is required to injure the kidney. Mvc's, falls, direct blows, and lower rib fractures are common mechanisms. The kidney is a heavily vascularized organ. When it is damaged, vessels break open, resulting in a parenchymal contusion and bleeding into the collecting system, which leads to the bladder and urethra. Nerve endings exist in kidney and surrounding tissue, resulting in pain.

Answered 8/3/2012

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Dr. James Lin answered

Here are some: The one with the described scenario can be safely monitored and followed with rest and healthy lifestyle depending on the timing after the accident. It is caused by speedy shaking-up and impact to disarrange the kidney tissues, and diagnosed with Hx, physicals, imaging studies - usually CT.IVP. So, ask Doc timely.

Answered 6/18/2014

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