Corresponding author at: Mount Sinai Beth Israel Medical Center, Department of Emergency Medicine, First Avenue at 16th Street, New York, NY 10003. Tel.: +1 646 546 4478.
Corresponding author at: Mount Sinai Beth Israel Medical Center, Department of Emergency Medicine, First Avenue at 16th Street, New York, NY 10003. Tel.: +1 646 546 4478.
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Figures
Figure
Laboratory values trended by day.
Supplementary Figure
Computerized tomography scan of the abdomen and pelvis demonstrated stranding, heterogeneity and edema involving the rectus abdominis, oblique, and serratus abominal muscles suggestive of rhabdomyolysis.
A 37-year-old man with a past medical history of sickle cell trait (SCT) presented to our emergency department (ED) complaining of upper abdominal pain and bilateral shoulder pain, following an assault the prior evening. He reported being pinned on his back with knees on his chest, and repeated punching to his stomach. Physical exam revealed mild tachycardia and diffuse tenderness to palpation of the abdomen, without guarding, rebound, induration, or external signs of trauma. Bilaterally his shoulder exam revealed limited range of motion secondary to pain and tenderness over the trapezius muscles.
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