Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult

The Korean Journal of Gastroenterology

Jong Seol Park¹  Bo Sung Kwon²  Serin Cha³  Nurhee Hong⁴  Sin Kyu Byun⁵  Suck Chei Choi⁶  Yong Sung Kim⁷ 

[1] Department of Internal Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea;Departments of Emergent Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea;Departments of Internal Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea;Departments of Radiology, Wonkwang University Sanbon Hospital, Gunpo, Korea;Division of Sports Science, Wonkwang University, Iksan, Korea;Wonkwang Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan, Korea;Wonkwang Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan;

关键词: Colitis;    ischemic;    Exercise;    Rhabdomyolysis;    Young adult;   

DOI  :  10.4166/kjg.2019.74.2.115

来源: DOAJ

【 摘 要 】

Ischemic colitis primarily affects the elderly with underlying disease, but it rarely occurs in young adults with risk factors, such as coagulopathy or vascular disorder. Moreover, it is extremely rare in the very young without risk factors. This paper presents a patient with ischemic colitis associated with heat stroke and rhabdomyolysis after intense exercise under high-temperature conditions. A 20-year-old man presented with mental deterioration after a vigorous soccer game for more than 30 minutes in sweltering weather. He also presented with hematochezia with abdominal pain. The laboratory tests revealed the following: AST 515 U/L, ALT 269 U/L, creatine kinase 23,181 U/L, BUN 29.1 mg/dL, creatinine 1.55 mg/dL, and red blood cell >50/high-power field in urine analysis. Sigmoidoscopy showed ischemic changes at the rectum and rectosigmoid junction. A diagnosis of ischemic colitis and rhabdomyolysis was made, and the patient recovered after conservative and fluid therapy. This case showed that a diagnosis of ischemic colitis should be considered in patients who present with abdominal pain and bloody diarrhea after intense exercise, and appropriate treatment should be initiated immediately.

【 授权许可】

Unknown