Toxic Megacolon Inflammatory bowel disease or Infectious colitis characterized by total or segmental nonobstructive colonic dilatation + Systemic toxicity Clinical diagnosis: Radiographic evidence of colonic distension PLUS at least 3 of the following: • Fever > 38 • HR > 120 • WBC> 10.5 • Anemia PLUS at least 1 of the following: • Dehydration • Altered sensorium • Electrolyte disturbances • Hypotension Management: • Supportive care • Treat underlying condition #Toxic #Megacolon #Diagnosis