MEGACOLON TOXICO PDF DOWNLOAD
MEGACOLON TOXICO PDF DOWNLOAD!
Toxic megacolon is a potentially lethal complication of inflammatory bowel disease (IBD) or infectious colitis that is characterized by total or. Curr Treat Options Gastroenterol. Dec;2(6) Megacolon: Acute, Toxic, and Chronic. Bharucha AE(1), Phillips SF. Author information: (1)Division of Missing: toxico | Must include: toxico. Toxic megacolon (megacolon toxicum) is an acute form of colonic distension. It is characterized by a very dilated colon (megacolon), accompanied by abdominal Pathophysiology · Treatment · Complications.
|Published:||6 December 2015|
|PDF File Size:||34.16 Mb|
|ePub File Size:||3.15 Mb|
Toxic megacolon associated Clostridium difficile colitis
megacolon toxico She denied using intravenous drugs. The temperature was She was obese and appeared in mild distress.
Her abdomen was mildly distended, with hypoactive bowel sounds. There was tenderness in the lower quadrants without rebound. The WBC was Megacolon toxico Hct was The arterial blood gas demonstrated a pH of 7.
The serum creatinine was The INR megacolon toxico 2. The objective of treatment is to decompress the bowel and to prevent swallowed air from further distending the bowel.
If decompression is not achieved or the patient does not improve within 24 hours, a colectomy surgical removal of all or part of the colon is indicated.
Dilatation of the colon can be broadly categorized into three clinical entities: In acute megacolon Ogilvie's syndromecolonic dilatation is attributed to a sympathetically mediated reflex response to a number of serious medical or surgical conditions in elderly patients. The initial tasks are to exclude mechanical obstruction with a hypaque enemato discontinue enabling medications, and to correct metabolic disturbances.
Dilatation of the cecum to greater than 12 cm diameter is a cause for grave concern. megacolon toxico
The patient was rushed to the operating room where exploratory laparotomy revealed a nonperforated massively dilated colon and an abdominal colectomy with ileostomy was performed. The megacolon toxico of the Hartmann pouch was stapled and oversewn with interrupted Lem-bert sutures.
Postoperatively the patient received intravenous meropenem and metronidazole and the rectum was irrigated with vancomycin.
The patient developed respiratory failure and remained in intensive care for two weeks but was eventually dismissed from the hospital eighteen days after surgery.
The patient recovered uneventfully and underwent ileorectostomy four months later.
Toxic megacolon | Radiology Reference Article |
The arrow indicates an image compatible with neumatosis. Low-pressure sigmoidoscopy shows colonic mucosa studded with adherent raised yellowish plaques. Discussion Megacolon toxico the last decade the incidence and severity of Clostridium difficile colitis has markedly increased.