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.
摘要：
据报道，马拉松跑步或其他形式的剧烈运动是急性胰腺炎的罕见原因。关于急性胰腺炎的机制的理论包括由于脱水或胰腺的重复性创伤引起的微血管缺血。我们报道了一个30多岁的健康女性出现腹痛的病例，32公里马拉松训练后恶心呕吐。在CT扫描中发现她的脂肪酶升高和胰尾发炎，并伴有包膜和盆腔游离液。包括腹部超声和磁共振胰胆管造影（MRCP）在内的检查未发现胆管或胰管病理。她在保守的管理下进步了。这些发现支持长跑运动诱发胰腺炎的假设。
