These cases4-10 described patients with symptoms of abdominal pain and tenderness. In the current case, our patient did not note abdominal pain and instead had dark urine discoloration. After the diagnosis, however, the patient did note previous presence of some abdominal soreness. Dark discoloration of urine can have varied results from differential diagnosis. Transient exercise-induced hematuria and proteinuria are common diagnoses but should not be assumed during initial presentation or when associated myalgias are noted. Abdominal wall rhabdomyolysis can easily be mistaken for abdominal pain owing to a renal stone, appendicitis, and other intra-abdominal pathological features. Healthcare professionals should consider presence of rhabdomyolysis if an athlete presents with acute hematuria. Rhabdomyolysis can result from physical activity of a new workout routine regardless of perceived level of difficulty.
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CASE REPORTS • UNMORJ VOL. 7 • 2018
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