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| Toxic megacolon Classification and external resources |
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| ICD-10 | K59.3 |
|---|---|
| ICD-9 | 564.7 |
| DiseasesDB | 27702 |
| eMedicine | med/1418 radio/702 |
| MeSH | D008532 |
Toxic megacolon (megacolon toxicum) is a life-threatening complication of other intestinal conditions. It is characterized by a very dilated colon (megacolon), accompanied by abdominal distension (bloating), and sometimes fever, abdominal pain, or shock.
Toxic megacolon is most usually a complication of inflammatory bowel disease, such as ulcerative colitis and, more rarely, Crohn’s disease, and some infections of the colon. Other forms of megacolon exist and can be congenital (present since birth, such as Hirschsprung's disease) or associated with some forms of constipation.
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Symptoms
- Abdominal pain
- Abdominal bloating
- Abdominal tenderness
- Fever
- Tachycardia (rapid heart rate)
- Dehydration
There may be signs of septic shock. A physical examination reveals abdominal tenderness and possible loss of bowel sounds. An abdominal radiography shows colonic dilation. There is usually an elevated white blood cell count. Severe sepsis may present with hypothermia or leukopenia.
Treatment
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. Fluid and electrolyte replacement help to prevent dehydration and shock. Use of corticosteroids may be indicated to suppress the inflammatory reaction in the colon if megacolon has resulted from active inflammatory bowel disease. Antibiotics may be given to prevent sepsis (a severe infection).
Prognosis
If the condition does not improve, there is a significant risk of death. In case of poor response to conservative therapy a colectomy is usually required. This may involve all or part of the colon being removed, with the resulting option of anastomosis or colostomy. Colostomy carries far less risk of infection and post-operative complications because the risk of deterioration of sutures within the intestinal tract (as a result of anastomosis) is not present.
Complications
- Sepsis
- Shock
- Perforation of the colon [1]
Emergency action may be required if severe abdominal pain develops -- particularly if it is accompanied by fever, rapid heart rate, tenderness when the abdomen is pressed, bloody diarrhea, frequent diarrhea, or painful bowel movements.
References
- ^ Panos MZ, Wood MJ, Asquith P (December 1993). "Toxic megacolon: the knee-elbow position relieves bowel distension". Gut 34 (12): 1726–7. PMID 8282262. PMC:1374472.
External links
- Toxic megacolon. National Institutes of Health. Used as the public domain source for this article. Update on 1/26/2004 by: Sreeni Jonnalagadda, M.D., Interventional and Pancreatobiliary Endoscopy, Washington University School of Medicine, St. Louis, MO. Review provided by VeriMed Healthcare Network.
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Wikipedia content modification information:
- This page was last modified on 1 September 2008, at 21:51.
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