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