Gastrointestinal complaints following endurance events are not uncommon. In many instances, intervention is primarily palliative and may include antiemetic medication and intravenous rehydration. The endurance medicine literature, however, also describes rare instances of gastrointestinal distress resulting in ischemic bowel presentations requiring surgical intervention (4,15). This case presentation describes a complaint of gastrointestinal pain after completing the 2008 Marine Corps Marathon that ultimately resulted in an atypical diagnosis in this setting.
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