Article Text

Download PDFPDF

Abdominal pain in long distance runners: case report and analysis of the literature
Free
  1. F C Dimeo1,
  2. J Peters2,
  3. H Guderian3
  1. 1Department of Haemotology, Oncology and Transfusion Medicine, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm, Berlin, Germany
  2. 2Department of Gastroenterology, Infectology and Rheumatology, Charité Universitätsmedizin Berlin
  3. 3Stadtstrasse 72, 73104, Freiburg, Germany
  1. Correspondence to:
 Dr Fernando Carlos Dimeo
 Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Station 06, Hindenburgdamm 30, Berlin 12200, Germany; fernando.dimeo{at}charite.de

Abstract

Abdominal pain is a common complaint among participants in endurance sports. It may be severe, recurrent, and resistant to treatment. There is no direct evidence of the cause of this phenomenon. This report is of a long distance runner who had severe pain in the upper right abdominal quadrant during strenuous exertion. The symptom had been present for several years and did not respond to conservative treatment. Laparoscopy showed congenital supernumerary ligaments binding the gallbladder to the abdominal wall. The complaint resolved after cholecystectomy and resection of adhesions. There was evidence of chronic cholecystitis on histopathological examination. Two years after the operation, he remains free of symptoms. The differential diagnosis of abdominal pain in athletes is discussed.

  • running
  • abdominal pain
  • stitch

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Footnotes

Linked Articles

  • Miscellanea
    BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine