Document Detail

Gastrointestinal emergencies with marathon-type running: omental infarction with pancreatitis and liver failure with portal vein thrombosis.
MedLine Citation:
PMID:  9673635     Owner:  NLM     Status:  MEDLINE    
This paper reports two patients with catastrophic complications after marathon-type running not hitherto documented. The first, who collapsed with acute abdominal pains, was found at surgery to have infarction of the omentum and later, after a second laparotomy, acute oedematous pancreatitis. The second patient, who collapsed semi-comatose with hyperthermia, developed disseminated intravascular coagulation, rhabdomyolysis, renal shutdown and progressive hepatic failure. With regular dialysis, his condition stabilised but liver function continued to decline, associated with thrombosis of the portal vein. The spectrum of potentially life threatening disorders includes upper gastrointestinal bleeding, haemorrhagic colitis and rarely infarction of the bowel. The present two cases provide further support for ischaemia being a major contributor to the gastrointestinal catastrophes of marathon-type running.
B A Scobie
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The New Zealand medical journal     Volume:  111     ISSN:  0028-8446     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-07-30     Completed Date:  1998-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  211-2     Citation Subset:  IM    
Wakefield Specialist Medical Centre, Wellington.
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MeSH Terms
Acute Disease
Fatal Outcome
Infarction / etiology*,  surgery
Liver Failure / etiology*,  surgery
Omentum / blood supply*,  surgery
Pancreatitis, Acute Necrotizing / etiology*,  surgery
Portal Vein* / surgery
Thrombosis / etiology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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