Ischemic colitis in marathon runners: a case-based review.

Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, West Clinical Center 2, Boston, MA 02215, USA.
Journal of Emergency Medicine (Impact Factor: 1.18). 05/2006; 30(3):321-6. DOI: 10.1016/j.jemermed.2005.05.021
Source: PubMed

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.