Ischemic acute necrotizing pancreatitis in a marathon runner.
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.
Mast
Jay J
JJ
Department of Surgery, Erasmus Medical Centre, Rotterdam, The Netherlands.
Morak
Marjolein J M
MJ
Brett
Bernard T
BT
van Eijck
Casper H J
CH
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