A case report of toxic megacolon with ulcerative colitis in old age

K. Takahashi, I. Sasaki, Y. Funayama, H. Naito, K. Koyama, T. Masuko, S. Matsuno

Research output: Contribution to journalArticlepeer-review

Abstract

A 72-year-old male who complained of melena and diarrhea had total colitis type of ulcerative colitis, which was diagnosed by colonofiberscopy. During conservative therapy, marked dilatation of the transverse colon was observed in abdominal X-ray film. Therefore, he was admitted to our department for treatment of toxic megacolon. Since intensive intravenous regimen failed to improve his general condition, subtotal colectomy, mucous fistula of rectum, and Brooke ileostomy were performed. The colon became markedly dilated and thin, and perforation of the transverse colon occurred intraoperatively. Regardless of intensive care, he died from hemorrhagic gastric ulcer with multiple organ failure. Since the incidence of ulcerative colitis tends to peak in old age as well as in young age, we should pay attention to this disease even in old age. The mortality rate of ulcerative colitis complicated with toxic megacolon in old age is much higher than before then. Thus rapid diagnosis and proper therapy is necessary.

Original languageEnglish
Pages (from-to)318-322
Number of pages5
JournalJournal of the Japan Society of Colo-Proctology
Volume49
Issue number4
DOIs
Publication statusPublished - 1996

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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