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Toxic Megacolon (complication of ulcerative colitis)

USU Teaching File MUTF - MedPix (2012)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Toxic Megacolon (complication of ulcerative colitis)

History: 57 y.o. woman admitted for two weeks history of abdominal pain and eight dark, loose stools per day. Patient has an eight-year history of ulcerative colitis. Patient was initially managed medically for an ulcerative colitis exacerbation. Initial acute abdominal series obtained on hospital day 2 (Films 1-3). The second acute abdominal series (Films 4-6) was obtained following greatly increased abdominal pain, fever, and abdominal distention.

Findings: • Dilated transverse colon > 5.5 cm

Ddx: • Ileus • Pseudomembranous colitis • Toxic megacolon (complication of ulcerative colitis) • Clostridium difficile colitis • Crohn disease • cytomegalovirus infection • drug-induced colitis • ischemic colitis

Dxhow: Imaging and Surgery

Exam: This patient was found to have C. difficile toxin in her stool.

No MeSH data available.


Acute Abdominal Series demonstrates dilatation of the transverse colon to 7cm and loss of haustration. Polypoid masses noted in transverse colon. Venous catheter in place in left femoral vein.
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MPX1221_synpic9046: Acute Abdominal Series demonstrates dilatation of the transverse colon to 7cm and loss of haustration. Polypoid masses noted in transverse colon. Venous catheter in place in left femoral vein.


Toxic Megacolon (complication of ulcerative colitis)

USU Teaching File MUTF - MedPix (2012)

Acute Abdominal Series demonstrates dilatation of the transverse colon to 7cm and loss of haustration. Polypoid masses noted in transverse colon. Venous catheter in place in left femoral vein.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1221&req=5

MPX1221_synpic9046: Acute Abdominal Series demonstrates dilatation of the transverse colon to 7cm and loss of haustration. Polypoid masses noted in transverse colon. Venous catheter in place in left femoral vein.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Toxic Megacolon (complication of ulcerative colitis)

History: 57 y.o. woman admitted for two weeks history of abdominal pain and eight dark, loose stools per day. Patient has an eight-year history of ulcerative colitis. Patient was initially managed medically for an ulcerative colitis exacerbation. Initial acute abdominal series obtained on hospital day 2 (Films 1-3). The second acute abdominal series (Films 4-6) was obtained following greatly increased abdominal pain, fever, and abdominal distention.

Findings: • Dilated transverse colon > 5.5 cm

Ddx: • Ileus • Pseudomembranous colitis • Toxic megacolon (complication of ulcerative colitis) • Clostridium difficile colitis • Crohn disease • cytomegalovirus infection • drug-induced colitis • ischemic colitis

Dxhow: Imaging and Surgery

Exam: This patient was found to have C. difficile toxin in her stool.

No MeSH data available.