title: Ischemic acute necrotizing pancreatitis in a marathon runner.
abstract: BACKGROUND
  Acute pancreatitis due to pancreatic ischemia is a rare condition.
  
  
  METHODS
  In this case report we describe a 57-year-old male who developed an acute necrotizing pancreatitis after running a marathon and visiting a sauna the same evening, with an inadequate fluid and food consumption during both events.
  
  
  CONCLUSIONS
  Pancreatic ischemia imposed by mechanical and physical stress and dehydration can induce the development of acute pancreatitis. Separately, these factors are rare causes of ischemic acute pancreatitis. But when combined, as in this particular case, the risk of an acute necrotizing pancreatitis cannot be neglected.
authors.affiliation: Department of Surgery, Erasmus Medical Centre, Rotterdam, The Netherlands.
authors.forename: Jay J
authors.initials: JJ
authors.lastname: Mast
authors.forename: Marjolein J M
authors.initials: MJ
authors.lastname: Morak
authors.forename: Bernard T
authors.initials: BT
authors.lastname: Brett
authors.forename: Casper H J
authors.initials: CH
authors.lastname: van Eijck
mesh_terms: D004435:Eating / Q000502:physiology; D006801:Humans; D007511:Ischemia / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D019283:Pancreatitis, Acute Necrotizing / Q000175:diagnosis* / Q000209:etiology; D005082:Physical Exertion / Q000502:physiology; D012420:Running / Q000502:physiology; D013177:Sports; D014882:Water-Electrolyte Balance / Q000502:physiology