Lab Studies:
Erythrocyte sedimentation rate- 27 (elevated) <br>C-reactive protein- 15.2 (elevated) <br>Von Willebrand Factor Ag- 193% (elevated) - Von Willebrand Factor Ag can be increased from chronic or acute inflammatory diseases or processes. <br>Urine Analysis- Within normal limits <br>Complete Metabolic Panel- Within normal limits <br>Complete Blood Count- Within normal limits with mild reactive thrombocytosis of 465 <br>Prothrombin time/international normalized ratio- Within normal limits <br>Bleeding time- Within normal limits <br>Creatine Kinase- Within normal limits

Other Studies:
Point of Care Ultrasound performed on the initial exam: Mild edema and disorganization of the proximal muscle/tendon fibers of the adductor near its origin. No full-thickness tear or retraction. <br> <br>Pelvic X-Ray on initial presentation: Osteitis Pubis. <a href="CaseStudyImages/CS1WhatAKick-1025.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br> <br>Initial Pelvic MRI without contrast revealed a left adductor partial tear, athletic pubalgia syndrome, and a partial left rectus abdominis aponeurosis tear. <a href="CaseStudyImages/CS2CS1WhatAKick1025j-1025.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> and <a href="CaseStudyImages/CS3CS2CS1WhatAKick10-1025.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <br> <br>A subsequent MRI Pelvis without contrast four months later showed three pelvic masses {within the left obturator (5 cm x 2.2 cm x 4 cm), abutting the urinary bladder (5 cm x 4c m x 5 cm), and right rectus abdominis muscle (2.4 cm x 4.4 cm x 7 cm)} suggestive of hematomas and redemonstration of the initial MRI findings. <a href="CaseStudyImages/CS4CS3CS2CS1WhatAKic-1025.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> , <a href="CaseStudyImages/CS5CS4CS3CS2CS1WhatA-1025.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> , and <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1Wh-1025.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> <br> <br>CT Scan Abdomen and Pelvis with contrast at 4 months: Redemonstration of stable non-expanding 3 pelvic hematomas (within left obturator, abutting the urinary bladder, and right rectus abdominis muscle). <br> <br>MRI Pelvis without contrast 6 months later: Showing decreasing pelvic hematomas with only bladder abutting hematoma still prominent. Redemonstration of bony edema along pelvic symphysis. <a href="CaseStudyImages/CS7CS6CS5CS4CS3CS2CS-1025.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a> and <a href="CaseStudyImages/CS8CS7CS6CS5CS4CS3CS-1025.jpg" title="Case Photo #8" data-lity><b>Case Photo #8</b></a> <br> <br>MRI Pelvis without contrast 11 months later: Complete resolution of previous pelvic hematomas. Redemonstration of bony edema along pelvic symphysis. <a href="CaseStudyImages/CS9CS8CS7CS6CS5CS4CS-1025.jpg" title="Case Photo #9" data-lity><b>Case Photo #9</b></a> and <a href="CaseStudyImages/CS10CS9CS8CS7CS6CS5C-1025.jpg" title="Case Photo #10" data-lity><b>Case Photo #10</b></a>

Consultations:
Interventional Radiology: For evacuation of pelvic hematomas. Subsequently determined, not necessary after CT Scan showed no expansion of hematomas.

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