Exercise-related transient abdominal pain (ETAP) is an ailment commonly known to athletes as stitch and detrimental to their performance although it is thought of as benign and self-limiting. It may be stabbing or sharp when severe, aching, pulling or cramping when less intense, recurrent, and resistant to treatment. To date, ETAP remains under analyzed and under reported in the medical literature. There is no direct evidence of the cause of this ailment. Most of the patients reported in the previous literature were adult patients. This case report of an 11- year-old otherwise healthy female and subsequent analysis of literature, will present a contemporary understanding of ETAP, including the various ideas about the etiology, the epidemiology associated with it, and strategies to manage and prevent this frustrating disorder.