Acute ischaemic colitis in a female long distance runner.
- 1 July 1987
- Vol. 28 (7) , 896-899
- https://doi.org/10.1136/gut.28.7.896
Abstract
A 34 year old female long distance runner is reported with bloody diarrhoea. Colonoscopy revealed patchy haemorrhagic mucosal lesions throughout the colon. The most extensive lesions were found in the sigmoid colon. Histologic examination disclosed mucosal haemorrhage, dilated capillaries, patchy fibrosis and superficial erosions. Additional findings in this patient were haemorrhagic gastritis, microscopic haematuria and rhabdomyolysis. The only medication taken by the patient was oral contraceptives. We conclude that ischaemic colitis is one of the possible mechanisms leading to gastrointestinal blood loss in competitive runners.Keywords
This publication has 29 references indexed in Scilit:
- Measurement of mesenteric blood flow by duplex scanningJournal of Vascular Surgery, 1986
- Measurement of mesenteric blood flow by duplex scanningJournal of Vascular Surgery, 1986
- Do some marathon runners bleed into the gut?BMJ, 1983
- Estrogen- and progesterone-associated colitis: a disorder with clinical and endoscopic features mimicking Crohn's colitisGastrointestinal Endoscopy, 1982
- 'Runner's trots'. Gastrointestinal disturbances in runnersPublished by American Medical Association (AMA) ,1980
- Exercise-related hematuria. Findings in a group of marathon runnersJAMA, 1979
- Small bowel ischaemia and infarction in young women taking oral contraceptives and progestational agentsBritish Journal of Surgery, 1977
- Bladder Trauma in the Long-distance Runner: “10,000 Metres Haematuria”British Journal of Urology, 1977
- Ischaemic colitis and the contraceptive pill.BMJ, 1971
- Oral Contraceptives and Gastrointestinal DisordersAnnals of Surgery, 1970