A CASE OF FULMINANT AMEBIC COLITIS

DOI Web Site 2 Citations 12 References
  • HIRAKAWA Akihiko
    Department of Emergency and Clinical Care Medicine, Kansai Medical University
  • TANAKA Takaya
    Department of Emergency and Clinical Care Medicine, Kansai Medical University
  • KAJIMOTO Shintaro
    Department of Emergency and Clinical Care Medicine, Kansai Medical University
  • ISHIKURA Hiroyasu
    Department of Emergency and Clinical Care Medicine, Kansai Medical University
  • IWASE Masaaki
    Department of Emergency and Clinical Care Medicine, Kansai Medical University
  • NAKATANI Hisao
    Department of Emergency and Clinical Care Medicine, Kansai Medical University

Bibliographic Information

Other Title
  • 劇症型アメーバ性大腸炎の１例

Search this article

Abstract

A 53-year-old man with bloody mucous diarrhea and anal pain was found to have an abscess around the anus and underwent incision and drainage. Since bloody mucous diarrhea continued after surgery and ileus developed, the patient was transferred to our hospital, at which time he had a high fever, abdominal tenderness, and induration of the anal region. Abdominal X-P and CT detected ileus. Since abdominal pain was aggravated the next day, laparotomy was conducted and most of the colon found to be necrotic. Resection of the total colon and ileostomy were done, but the patient developed postoperative multiple organ failure and died. A diagnosis of amebic colitis was made based on histopathological examination. Patients with bloody mucous diarrhea should be diagnosed early based on this possibility. For surgery in fuluminant cases, the procedure should be selected based on the patient's general condition.

Journal

Citations (2)*help

See more

References(12)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top