A known case of ulcerative colitis presented to emergency with abdominal distension & tenderness. X ray abdomen is given below. Which of the following is true regarding patient condition?
Toxic megacolon
Rarely seen in ulcerative colitis
Sigmoid volvulus
Adhesions
Given scenario suggests diagnosis of toxic megacolon in a known case of ulcerative colitis patient X ray abdomen shows dilated transverse colon >6 cm It is more commonly seen in ulcerative colitis than crohn disease Can be triggered by electrolyte abnormalities and narcotics Massive dilatation of colon leads to necrotic thin walled colon causing perforation Rx- Medical management- Fluids, IV antibiotics & suppoive Total abdominal colectomy with ileostomy
Inflammatory Bowel Disease