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Colonic perforation due to necrotizing amoebic colitis.
M Hasan1, M A Islam, S S Siddiqua
1Department of Surgery, Mymensingh Medical College. dollyha@bttb.net.bd
Mymensingh Medical Journal : MMJ
|April 29, 2003
Summary
A perforated amoebic ulcer caused severe abdominal pain and sepsis in a patient. Emergency surgery successfully removed the affected colon, leading to a full recovery without complications.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Infectious Diseases
Background:
- Intestinal perforation is a life-threatening surgical emergency.
- Amoebiasis, a parasitic infection, can lead to severe gastrointestinal complications including perforation.
Observation:
- A severely ill patient presented with prolonged fever, abdominal pain, and bloody diarrhea.
- Clinical examination revealed signs of peritonitis, an intra-abdominal mass, and rectal wall bulging.
- Radiological imaging showed signs suggestive of bowel obstruction and perforation.
Findings:
- Emergency laparotomy identified extensive fecal contamination and peritonitis.
- Necrosis and multiple perforations were observed in the cecum and colon.
- Histopathology confirmed amoebic ulcer perforations as the cause.
Implications:
- Prompt surgical intervention (subtotal colectomy) is crucial for managing perforated amoebic ulcers.
- This case highlights the importance of considering amoebiasis in the differential diagnosis of acute abdomen.
- Successful surgical management can lead to favorable patient outcomes.