Marathon pancreatitis: a case of acute pancreatitis caused by distance running. uri icon

Overview

abstract

  • Marathon running or other forms of strenuous exercise have been reported as a rare cause of acute pancreatitis. Theories as to the mechanism of acute pancreatitis include microvascular ischaemia due to dehydration or repetitive trauma to the pancreas. We report a case of a healthy woman in her 30s who developed abdominal pain, nausea and vomiting after a 32 km marathon training run. She was found to have elevated lipase and inflammation of the pancreatic tail with associated pericolic and pelvic free fluid on CT scan. Workup including abdominal ultrasound and magnetic resonance cholangiopancreatography (MRCP) did not reveal biliary or pancreatic duct pathology. She improved with conservative management. These findings support the hypothesis of exercise-induced pancreatitis from long-distance running.

publication date

  • May 31, 2024

Research

keywords

  • Marathon Running
  • Pancreatitis

Identity

Digital Object Identifier (DOI)

  • 10.1136/bcr-2024-260382

PubMed ID

  • 38821564

Additional Document Info

volume

  • 17

issue

  • 5