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Acute fulminant ulcerative colitis with toxic megacolon
C Igarashi1, T Hori, M Yoshida
1Department of Pediatrics, Kushiro City General Hospital, Japan.
Acta Paediatrica Japonica : Overseas Edition
|April 1, 1997
Summary
A severe case of ulcerative colitis (UC) in an 11-year-old boy was successfully treated non-surgically. Intensive medical therapy led to complete recovery, avoiding the need for surgery.
Area of Science:
- Pediatric Gastroenterology
- Inflammatory Bowel Disease Research
- Colorectal Surgery
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease.
- Fulminant UC presents with severe systemic symptoms and requires urgent management.
- Toxic megacolon is a life-threatening complication of UC.
Observation:
- An 11-year-old male presented with acute fulminant ulcerative colitis.
- Symptoms included systemic deterioration, frequent diarrhea, and lethargy.
- Diagnosis was confirmed by rectal endoscopy and biopsy, revealing toxic megacolon.
Findings:
- The patient received intensive intravenous prednisolone therapy.
- Total parenteral nutrition was administered to support nutritional status.
- Complete clinical recovery was achieved without surgical intervention.
Implications:
- Non-surgical management can be effective in pediatric fulminant UC with toxic megacolon.
- Early and aggressive medical treatment may prevent the need for colectomy.
- This case highlights successful conservative management strategies for severe pediatric ulcerative colitis.