Toxic megacolon

Case contributed by Heba Abdelmonem , 11 Nov 2017
Diagnosis almost certain
Changed by Ian Bickle, 13 Nov 2017

Updates to Study Attributes

Findings was changed:

-AbnormalAbnormal marked dilatation of the transverse as well as the proximal part of the left side of the colon with loss of haustral pattern. The diameter of the transverse colon measures 84 mm. The ascending colon displays thick walls.

Moderate amount of abdominal free fluid. No abnormal fluid-fluid levels. Normal opacification of the portal vein, no abnormal intraluminal gas. No abnormal gas under the diaphragm.

Abnormal edemaoedema of the anterior and posterior abdominal walls more obvious at the level of the groin.

Updates to Case Attributes

Body was changed:
  • Toxic megacolon

    usually presents with fever, tachycardia and leukocytosis. Other manifestationmanifestations include diarrheadiarrhoea, abdominal pain, rectal bleeding, vomiting, disturbed conciousconscious level and may be hypotension.
  • -<ul><li>
  • -<a title="Toxic megacolon" href="/articles/toxic-megacolon">Toxic megacolon</a>  usually presents with fever, tachycardia and leukocytosis. Other manifestation include diarrhea, abdominal pain, rectal bleeding, vomiting, disturbed concious level and may be hypotension.</li></ul>
  • +<p>Toxic megacolon usually presents with fever, tachycardia and leukocytosis. Other manifestations include diarrhoea, abdominal pain, rectal bleeding, vomiting, disturbed conscious level and may be hypotension.</p>

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