Ischemic colitis in marathon runners: a case-based review.
ABSTRACT In the United States over 450,000 participants finished a marathon in 2002. Some of them will present to an Emergency Department (ED) with a variety of gastrointestinal complaints. The diagnosis of ischemic colitis should be considered in patients who present with bloody diarrhea. We describe three patients who presented to our ED with abdominal pain and bloody diarrhea after a marathon. Gastrointestinal complaints with emphasis on mesenteric ischemia and ischemic colitis are discussed.
- The American journal of gastroenterology. 01/2015; 110(1):18-44.
- Feuillets de Radiologie 12/2009; 49(6):423-426. · 0.05 Impact Factor
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ABSTRACT: A 20-year-old female running the Marine Corps Marathon developed diarrhea at mile 12. After finishing the race she noted that she was covered in bloody stool. A local emergency department suspected ischemic colitis. After discharge, her primary care physician instructed her to discontinue the use of all nonsteroidal anti-inflammatory drugs. Her symptoms resolved and she returned to running without any complications. This paper describes the pathophysiology, diagnostic approach, and management options.Case reports in gastrointestinal medicine. 01/2012; 2012:356895.