Grames Chase, Berry-Cabán Cristóbal S
Department of Family Medicine, Womack Army Medical Center, Fort Bragg, NC 28310, USA.
Case Rep Gastrointest Med. 2012;2012:356895. doi: 10.1155/2012/356895. Epub 2012 Oct 10.
A 20-year-old female running the Marine Corps Marathon developed diarrhea at mile 12. After finishing the race she noted that she was covered in bloody stool. A local emergency department suspected ischemic colitis. After discharge, her primary care physician instructed her to discontinue the use of all nonsteroidal anti-inflammatory drugs. Her symptoms resolved and she returned to running without any complications. This paper describes the pathophysiology, diagnostic approach, and management options.
一名20岁参加海军陆战队马拉松赛的女性在赛程12英里处出现腹泻。跑完比赛后,她发现自己浑身沾满了血便。当地一家急诊科怀疑是缺血性结肠炎。出院后,她的初级保健医生指示她停止使用所有非甾体抗炎药。她的症状得到缓解,之后恢复跑步且未出现任何并发症。本文描述了其病理生理学、诊断方法及治疗选择。