Toxic megacolon: Difference between revisions
| Line 3: | Line 3: | ||
*Untreated, can lead to perforation | *Untreated, can lead to perforation | ||
*Usually associated with infectious colitis or [[Crohn's disease]] or [[Ulcerative Colitis]] | *Usually associated with infectious colitis or [[Crohn's disease]] or [[Ulcerative Colitis]] | ||
*Triggers: | |||
**Anti-motility agents | |||
**Anticholinergics | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 00:05, 15 September 2015
Background
- Inflammation of intestinal smooth muscle causes colon dilation
- Untreated, can lead to perforation
- Usually associated with infectious colitis or Crohn's disease or Ulcerative Colitis
- Triggers:
- Anti-motility agents
- Anticholinergics
Clinical Features
- Abdominal Pain
- Fever
- Tachycardia
- Distended abdomen
- Hypokalemia
- Hypomagnesemia
Differential Diagnosis
- SBO
- LBO
- Constipation
- C. difficile colitis
Diagnosis
- X-ray showing colon > 6 cm diameter