Abdominal Swelling In A Volleyball Player - Page #1

Author: Alexander Nguyen, MD
Co Author #1: Dr Kevin deWeber
Senior Editor: Jessalynn Adam, MD
Editor: Nathan Cardoos, MD

Patient Presentation:
22yo female D1 college volleyball player presents to the athletic training room reporting 2-3 weeks of atraumatic left lower quadrant abdominal pain, swelling, and numbness during volleyball season.

Left lower quadrant pain and swelling developed gradually during volleyball season, with increased frequency of spiking drills. The patient reported initial improvement with athletic trainer treatment with ice, electrical stimulation, Kinesio Taping, and ibuprofen. Symptoms worsened after several rounds of scraping and cupping. She was unable to complete an abdominal sit-up due to pain. She denies easy bruising or anticoagulation use. No family history of hemophilia or bleeding dyscrasia. No dysuria. No history of abdominal surgeries. She presents to college training room for further evaluation and treatment.

Physical Exam:
Vital signs: BP 125/75, HR 80 bpm, SpO2 98% on RA. No acute distress. Abd: No ecchymosis. Soft, with tenderness and induration in left lower abdomen. No guarding/rebounding. Positive Carnett's sign. No hernia on exam. Pain LLQ with resisted abdominal flexion.

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