Lab Studies:
Erythrocyte sedimentation rate- 27 (elevated)
C-reactive protein- 15.2 (elevated)
Von Willebrand Factor Ag- 193% (elevated) - Von Willebrand Factor Ag can be increased from chronic or acute inflammatory diseases or processes.
Urine Analysis- Within normal limits
Complete Metabolic Panel- Within normal limits
Complete Blood Count- Within normal limits with mild reactive thrombocytosis of 465
Prothrombin time/international normalized ratio- Within normal limits
Bleeding time- Within normal limits
Creatine Kinase- Within normal limits

Other Studies:
Point of Care Ultrasound performed on the initial exam: Mild edema and disorganization of the proximal muscle/tendon fibers of the adductor near its origin. No full-thickness tear or retraction.

Pelvic X-Ray on initial presentation: Osteitis Pubis. Case Photo #1

Initial Pelvic MRI without contrast revealed a left adductor partial tear, athletic pubalgia syndrome, and a partial left rectus abdominis aponeurosis tear. Case Photo #2 and Case Photo #3

A subsequent MRI Pelvis without contrast four months later showed three pelvic masses {within the left obturator (5 cm x 2.2 cm x 4 cm), abutting the urinary bladder (5 cm x 4c m x 5 cm), and right rectus abdominis muscle (2.4 cm x 4.4 cm x 7 cm)} suggestive of hematomas and redemonstration of the initial MRI findings. Case Photo #4 , Case Photo #5 , and Case Photo #6

CT Scan Abdomen and Pelvis with contrast at 4 months: Redemonstration of stable non-expanding 3 pelvic hematomas (within left obturator, abutting the urinary bladder, and right rectus abdominis muscle).

MRI Pelvis without contrast 6 months later: Showing decreasing pelvic hematomas with only bladder abutting hematoma still prominent. Redemonstration of bony edema along pelvic symphysis. Case Photo #7 and Case Photo #8

MRI Pelvis without contrast 11 months later: Complete resolution of previous pelvic hematomas. Redemonstration of bony edema along pelvic symphysis. Case Photo #9 and Case Photo #10

Consultations:
Interventional Radiology: For evacuation of pelvic hematomas. Subsequently determined, not necessary after CT Scan showed no expansion of hematomas.

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