A 19-year-old male who is a football goalie was involved in play near his goal. In the chaos, his own teammate elbowed him in the anterior left abdomen. The patient dropped to the ground, while vomiting and writhing in pain. Physical Exam: Patient was writhing on the ground vomiting, appearing in considerable pain. Heart and lungs were clear. Vital signs stable.
Significant abdominal pain continued. No bony tenderness on spinal or rib palpation. BP 119/72, HR 60, T 97F, RR 18, O2 sat 100% on arrival to the hospital. What could be the diagnosis and plan of treatment? *This case is by Docplexus Editorial Team for educational purpose only.
