Recurrent Abdominal Pain Due to Acute Renal Failure With Loin Pain and Patchy Renal Ischemia After Anaerobic Exercise

TL;DR

A 16-year-old male experienced recurring abdominal pain due to a rare condition linked to intense exercise, highlighting the need for awareness of this condition in similar cases.

Contribution

This case report highlights ALPE as a potential cause of recurrent abdominal pain after anaerobic exercise.

Findings

ALPE can present with recurrent abdominal pain following anaerobic exercise.

Symptoms may worsen after resuming exercise after a period of detraining.

ALPE should be considered in the differential diagnosis of exercise-related abdominal pain.

Abstract

Acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise (ALPE) is a rare condition characterized by severe loin pain and patchy renal ischemia following vigorous exercise. Moreover, its diagnosis relies on clinical manifestations. Here, we present the case of a 16-year-old male with recurrent abdominal pain attributed to ALPE. He developed recurrent abdominal pain after he started playing handball, and no definite cause could be identified despite a thorough examination. His symptoms worsened when he resumed handball practice after a one-month interruption. This case underscores the varied presentations of ALPE and the importance of considering it in the differential diagnosis of recurrent abdominal pain, particularly following strenuous exercise. Moreover, caution should be exercised when resuming exercise after periods of detraining, as this may predispose individuals to ALPE. Healthcare providers should be vigilant in recognizing and managing this condition, especially in individuals with recent exercise initiation following detraining.