Colon Perforation as a Critical Complication of Exertional Heat Stroke

Although reduced intestinal blood flow causing barrier dysfunction and endotoxemia is well documented in the pathogenesis of heat stroke (HS), complications of the gastrointestinal tract are less appreciated in HS patients. Herein, we report the case of a young man with exertional HS complicated wit...

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Bibliographic Details
Published inInternal Medicine Vol. 49; no. 22; pp. 2473 - 2476
Main Authors Wang, Chih-Chiang, Tsai, Ming-Kai, Chen, I-Hung, Shiang, Jeng-Chuan
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 01.01.2010
Subjects
Adult
colon perforation
Colonic Diseases - etiology
heat stroke
Heat Stroke - complications
Humans
Intestinal Perforation - etiology
Male
Physical Exertion
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ISSN0918-2918
1349-7235
1349-7235
DOI10.2169/internalmedicine.49.3614

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Summary:Although reduced intestinal blood flow causing barrier dysfunction and endotoxemia is well documented in the pathogenesis of heat stroke (HS), complications of the gastrointestinal tract are less appreciated in HS patients. Herein, we report the case of a young man with exertional HS complicated with colon perforation. Acute abdomen, bloody diarrhea, dilated bowel loop, and unexplained shock should be considered as warning signs of colonic ischemia and consequent perforation. Early recognition is the key factor for improving the outcome of HS patients complicated with colon perforation.
Bibliography:ObjectType-Case Study-2
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ISSN:0918-2918
1349-7235
1349-7235
DOI:10.2169/internalmedicine.49.3614