Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult
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 associ...
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| Format: | Article |
| Language: | English |
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Jin Publishing & Printing Co.
2019-08-01
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| Series: | The Korean Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.kjg.or.kr/journal/view.html?uid=5486&vmd=Full& |
| _version_ | 1818269531985936384 |
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| author | Serin Cha Bo Sung Kwon Nurhee Hong Jong Seol Park Sin Kyu Byun Suck Chei Choi Yong Sung Kim |
| author_facet | Serin Cha Bo Sung Kwon Nurhee Hong Jong Seol Park Sin Kyu Byun Suck Chei Choi Yong Sung Kim |
| author_sort | Serin Cha |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T20:55:52Z |
| format | Article |
| id | doaj.art-b5dd0fefbcd64f54bd95d670a1b156b5 |
| institution | Directory Open Access Journal |
| issn | 1598-9992 2233-6869 |
| language | English |
| last_indexed | 2024-12-12T20:55:52Z |
| publishDate | 2019-08-01 |
| publisher | Jin Publishing & Printing Co. |
| record_format | Article |
| series | The Korean Journal of Gastroenterology |
| spelling | doaj.art-b5dd0fefbcd64f54bd95d670a1b156b52022-12-22T00:12:18ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692019-08-0174211511810.4166/kjg.2019.74.2.115Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young AdultSerin Cha0Bo Sung Kwon1Nurhee Hong2Jong Seol Park3Sin Kyu Byun4Suck Chei Choi5Yong Sung Kim6Departments of Internal Medicine, Wonkwang University Sanbon Hospital, Gunpo, KoreaDepartments of Emergent Medicine, Wonkwang University Sanbon Hospital, Gunpo, KoreaDepartments of Radiology, Wonkwang University Sanbon Hospital, Gunpo, KoreaDepartment of Internal Medicine, SMG-SNU Boramae Medical Center, Seoul, KoreaDivision of Sports Science, Wonkwang University, Iksan, KoreaWonkwang Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan, KoreaWonkwang Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan; Good Breath Clinic, Gunpo, KoreaIschemic 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.http://www.kjg.or.kr/journal/view.html?uid=5486&vmd=Full&ColitisischemicExerciseRhabdomyolysisYoung adult |
| spellingShingle | Serin Cha Bo Sung Kwon Nurhee Hong Jong Seol Park Sin Kyu Byun Suck Chei Choi Yong Sung Kim Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult The Korean Journal of Gastroenterology Colitis ischemic Exercise Rhabdomyolysis Young adult |
| title | Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult |
| title_full | Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult |
| title_fullStr | Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult |
| title_full_unstemmed | Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult |
| title_short | Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult |
| title_sort | ischemic colitis associated with rhabdomyolysis and heat stroke after an intense exercise in young adult |
| topic | Colitis ischemic Exercise Rhabdomyolysis Young adult |
| url | http://www.kjg.or.kr/journal/view.html?uid=5486&vmd=Full& |
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