Rectus abdominis muscle strain

Case contributed by Dr Maulik S Patel

Presentation

Complaining of abdominal pain for the last 4 days. Tenderness in left para and infra-umbilical region.

Patient Data

Age: 30 years
Gender: Male
Ultrasound

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 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 for 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 few sports activity; volleyball is one of them.

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Case information

rID: 27566
Published: 9th Feb 2014
Last edited: 11th Apr 2019
Inclusion in quiz mode: Included

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