젊은 성인에서 심한 운동 후 횡문근융해와 허혈성 장염이 병발된 1예

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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Veröffentlicht in:The Korean journal of gastroenterology 2019-08, Vol.74 (2), p.115
Hauptverfasser: 차세린, Serin Cha, 권보성, Bo Sung Kwon, 홍누리, Nurhee Hong, 박종설, Jong Seol Park, 변신규, Sin Kyu Byun, 최석채, Suck Chei Choi, 김용성, Yong Sung Kim
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Zusammenfassung: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. (Korean J Gastroenterol 2019;74:115-118)
ISSN:1598-9992