Soccer Game Turned Bloody: A Case of Exercise-Induced Ischemic Colitis.

Autor:	Zaffar D; Department of Internal Medicine, University of Maryland Medical Center Midtown, Baltimore, MD., Rivera E; American University of Antigua, St John's, Antigua and Barbuda., Schwartz S; Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD., Ali O; Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD., Greenwald BD; Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD.
Jazyk:	angličtina
Zdroj:	ACG case reports journal [ACG Case Rep J] 2024 Jun 21; Vol. 11 (6), pp. e01406. Date of Electronic Publication: 2024 Jun 21 (Print Publication: 2024).
DOI:	10.14309/crj.0000000000001406
Abstrakt:	Ischemic colitis (IC) should be considered as a cause for gastrointestinal symptoms in patients with recent vigorous physical activity. Vasoconstriction driven by increased sympathetic tone during exercise is believed to mediate exercise-induced IC. In this report, a 21-year-old man with no medical history developed self-resolving, sudden-onset hematochezia and abdominal pain after playing in a collegiate soccer match for 90 minutes. Colonoscopy with biopsy showed changes consistent with IC. He improved without further treatment. In most cases, exercise-induced IC resolves completely with supportive care and correction of hypovolemia. Careful monitoring is appropriate before pursuing further evaluation. (© 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu