Toxic megacolon secondary to acute ischemic colitis

A 72-year-old woman without significant medical history was admitted with abdominal pain, high fever, leukocytosis, bloody diarrhea and marked dilation of the transverse, descending and sigmoid colon. Toxic megacolon was diagnosed and responded well to medical treatment. Seven weeks after her admiss...

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Bibliographic Details
Published in:	Hepato-gastroenterology Vol. 40; no. 2; p. 188
Main Authors:	Markoglou, C, Avgerinos, A, Mitrakou, M, Sava, S, Prigouris, S, Hatziyoannou, J, Raptis, S
Format:	Journal Article
Language:	English
Published:	Greece 01-04-1993
Subjects:	Acute Disease Aged Colitis, Ischemic - complications Colitis, Ischemic - pathology Colon - pathology Female Humans Intestinal Mucosa - pathology Megacolon, Toxic - etiology Megacolon, Toxic - therapy
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Summary:	A 72-year-old woman without significant medical history was admitted with abdominal pain, high fever, leukocytosis, bloody diarrhea and marked dilation of the transverse, descending and sigmoid colon. Toxic megacolon was diagnosed and responded well to medical treatment. Seven weeks after her admission, however, the patient developed a stenotic lesion in the sigmoid colon. The lesion was managed surgically. Histological examination of the resected colon revealed resolving ischemic colitis affecting only part of the thickness of the intestinal wall. The patient has been healthy since the surgery, i.e., for two years.
ISSN:	0172-6390