RESUMO

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."

Assuntos

Músculos Abdominais , Dor Abdominal/etiologia , Exercício Físico , Militares , Medicina Naval , Rabdomiólise/etiologia , Dor Abdominal/diagnóstico , Dor Abdominal/urina , Adulto , Tratamento de Emergência , Humanos , Masculino , Mioglobinúria/etiologia , Mioglobinúria/urina , Rabdomiólise/diagnóstico , Rabdomiólise/urina