Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult
10.4166/kjg.2019.74.2.115
- Author:
Serin CHA
1
;
Bo Sung KWON
;
Nurhee HONG
;
Jong Seol PARK
;
Sin Kyu BYUN
;
Suck Chei CHOI
;
Yong Sung KIM
Author Information
1. Department of Internal Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea.
- Publication Type:Case Report
- Keywords:
Colitis, ischemic;
Exercise;
Rhabdomyolysis;
Young adult
- MeSH:
Abdominal Pain;
Aged;
Colitis, Ischemic;
Creatine Kinase;
Creatinine;
Diagnosis;
Diarrhea;
Erythrocytes;
Fluid Therapy;
Gastrointestinal Hemorrhage;
Heat Stroke;
Hot Temperature;
Humans;
Rectum;
Rhabdomyolysis;
Risk Factors;
Sigmoidoscopy;
Soccer;
Weather;
Young Adult
- From:The Korean Journal of Gastroenterology
2019;74(2):115-118
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
