"Abdominal crunch"-induced rhabdomyolysis presenting as right upper quadrant pain.
A young, active duty sailor presented with right upper quadrant abdominal pain. History, physical, and laboratory findings initially suggested cholecystitis or related disease. Further evaluation found myoglobinuria and a recently increased exercise program, leading to the diagnosis of exercise-induced right upper abdominal wall rhabdomyolysis. Although not a common cause of abdominal pain, this diagnosis should be considered in the patient with abdominal pain and a recently increased exercise program, particularly exercises of the abdominal wall such as "abdominal crunches."
Haas
D C
DC
U.S. Naval Hospital, Guantanamo Bay, Cuba.
Bohnker
B K
BK
D000009:Abdominal Muscles; D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology* / Q000652:urine; D000328:Adult; D004638:Emergency Treatment; D015444:Exercise; D006801:Humans; D008297:Male; D008889:Military Personnel; D009212:Myoglobinuria / Q000209:etiology / Q000652:urine; D009326:Naval Medicine; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000209:etiology* / Q000652:urine