젊은 성인에서 심한 운동 후 횡문근융해와 허혈성 장염이 병발된 1예
Ischemic Colitis Associated with Rhabdomyolysis and Heat Stroke after an Intense Exercise in Young Adult
차세린, 권보성, 홍누리, 박종설, 변신규, 최석채, 김용성,
소속 상세정보
차세린 ( Cha Se-Rin )
원광대학교 산본병원 내과
권보성 ( Kwon Bo-Sung )
원광대학교 산본병원 응급의학과
홍누리 ( Hong Nu-Rhee )
원광대학교 산본병원 방사선과
박종설 ( Park Jong-Seol )
서울특별시 보라매병원 내과
변신규 ( Byun Sin-Kyu )
원광대학교 스포츠과학부
최석채 ( Choi Suck-Chei )
원광대학교 의과대학 원광소화기질환연구소
김용성 ( Kim Yong-Sung )
원광대학교 의과대학 원광소화기질환연구소
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.
키워드
Colitis, ischemic; Exercise; Rhabdomyolysis; Young adult
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