Tsujimoto Tatsuhiro, Takano Masato, Ishikawa Masatoshi, Tsuruzono Takuya, Matsumura Yoshinobu, Kitano Hiroyuki, Yoneda Satoshi, Yoshiji Hitoshi, Yamao Junichi, Fukui Hiroshi
Department of Gastroenterology, Ishinkai Yao General Hospital, 1-41 Numa, Yao, Osaka 581-0036.
Intern Med. 2004 Aug;43(8):693-5. doi: 10.2169/internalmedicine.43.693.
Our patient was a 71-year-old man who presented with lower abdominal pain, and bloody and white mucosal stools. He purchased by mail-order an electrical muscle stimulation (EMS) device, which he strapped onto his lower abdomen, and for 2 consecutive days he underwent muscle stimulation comprising 600 contractions at 2.40 mA and 1.20 V over a 10 minute period. He experienced the onset of lower abdominal pain immediately following muscle stimulation on the second day, and then passed stools containing blood and white mucus. The cause was thought to be electrical and mechanical stimulation of the lower abdomen by the EMS equipment, either inducing colonic or vascular spasm, or dislodging thrombi associated with atrial fibrillation or atherosclerosis. This is the first known report of ischemic colitis associated with the use of EMS exercise equipment. We report this case in the belief that this condition is likely to become more common with increasing use of such devices.
我们的患者是一名71岁男性，出现下腹部疼痛、带血及白色黏膜样大便。他通过邮购购买了一台电肌肉刺激（EMS）设备，将其绑在下腹部，连续两天每天接受10分钟的肌肉刺激，刺激强度为2.40毫安、1.20伏，共600次收缩。在第二天进行肌肉刺激后，他立即开始出现下腹部疼痛，随后排出含血和白色黏液的大便。病因被认为是EMS设备对下腹部的电刺激和机械刺激，这要么诱发了结肠或血管痉挛，要么使与心房颤动或动脉粥样硬化相关的血栓脱落。这是已知的首例与使用EMS健身设备相关的缺血性结肠炎报告。我们报告此病例是因为相信随着此类设备使用的增加，这种情况可能会变得更加常见。
