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Marathon-induced ischemic colitis: why running is not always good for you.

Cohen, DC; Winstanley, A; Engledow, A; Windsor, AC; Skipworth, JR; (2009) Marathon-induced ischemic colitis: why running is not always good for you. Am J Emerg Med , 27 (2) 255.e5 - 255.e7. 10.1016/j.ajem.2008.06.033.

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Abstract

We present the case of a 31 year-old man who presented to the emergency department of University College Hospital London after collapsing upon finishing the London marathon. Contrast-enhanced multidetector computed tomography scanning revealed ischemic colitis of the cecum and ascending colon, which progressed to the development of clinical peritonism after 48 hours. This patient subsequently underwent a laparotomy and right hemicolectomy, with ileostomy formation, on the third day after admission. Operative and histologic findings confirmed ischemic colitis of the cecum and proximal colon. The postoperative recovery was uneventful, and he was discharged home well. Possible mechanisms of ischemia in marathon runners and those undergoing intense exercise include a combination of splanchnic vasoconstriction, dehydration, and hyperthermia, combined with mechanical forces. Most patients presenting with marathon-running-induced ischemic colitis respond to conservative treatment and the need for operative intervention is extremely rare.

Type:Article
Title:Marathon-induced ischemic colitis: why running is not always good for you.
Location:United States
DOI:10.1016/j.ajem.2008.06.033
Language:English
Keywords:Adult, Colitis, Ischemic, Humans, Male, Running, Tomography, X-Ray Computed
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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