Presentation
Complaining of abdominal pain for the last 4 days. Tenderness in left para and infra-umbilical regions.
Patient Data
There was no intraperitoneal abnormality. Ultrasound focus was shifted to anterior abdominal wall at site of pain.
At the site of pain pointed by the patient, there is a loss of normal echopattern involving deeper fibers of the left rectus abdominis muscle. There is no fluid collection.
The asymptomatic side was examined for comparison which showed normal findings.
Case Discussion
A right-handed young male presented with left-sided abdominal pain. Ultrasound findings favor left rectus muscle strain. There was no positive history of direct trauma to the abdominal wall. The patient had started playing volleyball during the last 2 weeks. He recollected that the pain started while playing volleyball. Non-dominant side rectus abdominis muscle injury is known in a few sports activities; volleyball is one of them.