Document Detail

Reversible ischemic colitis in a high endurance athlete.
MedLine Citation:
PMID:  9820403     Owner:  NLM     Status:  MEDLINE    
Ischemic colitis is a rare but serious consequence of long distance running. Herein we report a well documented case of severe ischemic colitis in an elite class marathon athlete in whom an extensive diagnostic evaluation, including magnetic resonance angiography and hypercoagulation profile, was performed. Our results suggest that physiologic shunting due to splanchnic vasoconstriction, intravascular volume depletion due to chronic dehydration, and possibly some element of hypercoaguability due to secondary polycythemia may have been causative factors. The patient's full recovery, both clinically and endoscopically, with conservative treatment and ability to resume a vigorous training schedule further support a reversible nonocclusive etiology.
W Lucas; P C Schroy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  93     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1998-12-09     Completed Date:  1998-12-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2231-4     Citation Subset:  IM    
Department of Medicine, Boston Medical Center, Massachusetts 02118, USA.
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MeSH Terms
Colitis, Ischemic / diagnosis,  etiology*
Dehydration / complications
Magnetic Resonance Angiography
Polycythemia / complications
Thrombophilia / complications

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