Ischemic colitis in marathon runners: A case-based review

ArticleinJournal of Emergency Medicine 30(3):321-6 · May 2006with46 Reads
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 collitis 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 mesenterlic lischemia and ischemic colitis are discussed. (c) 2006 Elsevier Inc.
    • "Hyperosmolar sport drinks and gels create a transluminal shift of water into the colon, thus contributing to the diarrhea and dehydration [6]. The splenic flexure and the rectosigmoid junction are the watershed areas in the colon that are more prone to ischemia due to their lack of sufficient blood supply [3]. Not only are endurance athletes at risk for ischemic colitis, but many are at increased risk from chronic nonsteroidal anti-inflammatory drugs (NSAID) use. "
    [Show abstract] [Hide abstract] 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.
    Full-text · Article · Oct 2012
    • "Abdominal pain, diarrhea, and hematochezia are common presenting symptoms . The development of exercise-induced ischemic colitis, however, is rare [7, 17]. Although the majority of cases in the literature describing exercise-induced ischemic colitis were managed conservatively, severe complications such as bowel perforation may develop and could be easily missed if the correct diagnosis is not entertained [12] . "
    Article · Jan 2012
  • [Show abstract] [Hide abstract] ABSTRACT: First Page of the Article
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