Exercised-Induced Ischemic Colitis in a Recreational Athlete Previously Attributed to Inflammatory Bowel Disease

Michael P. Lukela, William D. Chey


Ischemic colitis traditionally presents in older patients, many whom have underlying atherosclerotic disease. Although symptoms may be transient and resolve spontaneously, serious complications may develop including stricture formation, bowel perforation, sepsis, or death. Recently, otherwise healthy athletes have been reported to develop ischemic colitis during or following strenuous, prolonged exercise. Here we describe a unique case in which a recreational athlete previously diagnosed with Crohns disease ten years prior presented with diarrhea and hematochezia attributed to an acute flare of her inflammatory bowel disease. Thorough review of her history, physical examination, laboratory, radiographic, and endoscopic evaluations revealed that her presenting symptoms were secondary to exercise-induced ischemic colitis. Moreover, her evaluation suggested that her prior diagnosis of Crohns disease was incorrect and that her previous Crohns flares were likely secondary to intermittent bouts of ischemic colitis. This case highlights the importance of recognizing the diagnosis of ischemic colitis in an atypical host, but one in which the disease prevalence is likely to increase as more individuals participate in recreational endurance activities.

J Med Cases. 2012;3(6):379-382
doi: https://doi.org/10.4021/jmc839w


Ischemic colitis; Mesenteric ischemia; Gastrointestinal bleeding; Marathon running; Case report

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.