[Post-partum malignant amebic colitis. Apropos of a case].
A 26-year old female developed acute fulminant amoebic colitis during the post-partum period, successfully managed by subtotal colonic resection without anastomosis. Fulminant transmural amoebic colitis is a rare life-threatening complication of invasive bowel amebiasis. Pregnancy, delivery, diabetes mellitus and immunodeficiency are the main risk factors. At pathologic examination, bowel wall necrosis can be seen with amoebae present in the lumen of capillary vessels. The diagnosis of amoebic colonic perforation is difficult, especially in a non-endemic area. Conservative surgical management is required in non-perforated forms. If perforated, the bowel must be resected, limited to macroscopic lesions.
Bourdeix
O
O
Service de Chirurgie, Hôpital Principal de Dakar.
Andreu
J M
JM
Sartelet
H
H
Diallo
B
B
Brissiaud
J C
JC
Vicq
P
P
Michel
G
G
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003082:Colectomy / Q000379:methods; D004404:Dysentery, Amebic / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D008795:Metronidazole / Q000627:therapeutic use; D010538:Peritonitis / Q000209:etiology* / Q000601:surgery; D049590:Postpartum Period; D011247:Pregnancy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D008795:Metronidazole