Department of Obstetrics and Gynecology, Walter Reed National Military Medical Center, Bethesda, Maryland.
Obstet Gynecol. 2018 Mar;131(3):591-593. doi: 10.1097/AOG.0000000000002476.
Rhabdomyolysis is characterized by muscle necrosis and release of intracellular constituents, causing muscle pain, weakness, and myoglobinuria. This can be attributed to muscle injury after strenuous exercise. If the abdominal wall is involved, clinical presentation may resemble an acute abdomen.
A 27-year-old woman, gravida 4 para 2, presented with swelling and pain of the mons pubis and abdominal pain after intense powerlifting 2 days prior. A computed tomography scan was performed, revealing abdominal wall inflammation. Although myoglobinuria was absent, there was high suspicion for rhabdomyolysis, which was confirmed by an elevated creatine kinase level. The patient improved after receiving intravenous fluids and abstaining from physical activity.
Abdominal wall muscle injury resulting in rhabdomyolysis can imitate an acute abdomen in a healthy woman presenting with abdominal pain and swelling.
横纹肌溶解症的特征是肌肉坏死和细胞内成分释放，导致肌肉疼痛、无力和肌红蛋白尿。这可能归因于剧烈运动后的肌肉损伤。如果涉及腹壁，临床表现可能类似于急性腹痛。
一名 27 岁女性，孕 4 产 2，在 2 天前进行剧烈力量训练后出现耻骨联合肿胀和疼痛以及腹痛。进行了计算机断层扫描，显示腹壁炎症。尽管没有肌红蛋白尿，但高度怀疑横纹肌溶解症，肌酸激酶水平升高证实了这一点。患者在接受静脉补液和避免体力活动后有所改善。
健康女性因腹壁肌肉损伤导致的横纹肌溶解症可引起腹痛和肿胀，类似于急性腹痛。
