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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >Renal infarction, elevated transaminases, and renal insufficiency after an acute bout of abdominal pain in a bodybuilder.
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Renal infarction, elevated transaminases, and renal insufficiency after an acute bout of abdominal pain in a bodybuilder.

机译：健美运动员突然发作腹部疼痛后出现肾梗死，转氨酶升高和肾功能不全。

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摘要

A 35-year-old male bodybuilder presented to a community hospital emergency department with abdominal pain, nausea, and vomiting. Onset of symptoms began earlier in the day while he was lifting weights. The pain was sudden, shaip, and initially located in the left upper quadrant, but then it moved to the center of his abdomen. Changes in position, particularly when he would lay on his right side, exacerbated the pain. The patient admitted to recent use of supplements containing the steroid dihydrotesterone, multivitamins, protein supplements, and as much as 600 g of protein a day for several weeks. He also admitted using anabolic steroids in the past, but he was vague as to the time frame since his last use. The only significant finding in the review of systems included fatigue and a 35-pound weight gain in the last 4 months. Serum laboratory studies revealed increased liver transaminases, elevated blood urea nitrogen, normal creatinine, mildly elevated lipase, and increased creatine phospho-kinase (CPK) of 1110 U/mL.
机译：一名35岁的男性健美运动员因腹痛，恶心和呕吐出现在社区医院急诊科。当他举重时，症状开始于当天早些时候开始。疼痛是突然的，轻微的，最初位于左上象限，但随后转移到腹部中央。姿势的改变，特别是当他躺在右侧时，加剧了疼痛。该患者承认最近使用了含有类固醇二氢睾丸激素，多种维生素，蛋白质补充剂和每天多达600克蛋白质的补充剂，服用了数周。他也承认过去曾使用过合成代谢类固醇，但对于自上次使用以来的时间范围含糊不清。在系统审查中，唯一的重要发现包括疲劳和最近4个月体重增加了35磅。血清实验室研究表明，肝转氨酶升高，血尿素氮升高，肌酐正常，脂肪酶轻度升高以及肌酸磷酸激酶（CPK）升高至1110 U / mL。

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