Acute fulminant ulcerative colitis with toxic megacolon.
An 11-year-old boy with acute fulminant ulcerative colitis (UC) is presented. He had systemic deterioration with frequent diarrhea and lethargy. Acute fulminant UC associated with toxic megacolon was diagnosed by rectal endoscopy and biopsied specimen. He was treated with intensive intravenous administration of prednisolone and total parenteral nutrition. He recovered completely without any surgical intervention.
Igarashi
C
C
Department of Pediatrics, Kushiro City General Hospital, Japan.
Hori
T
T
Yoshida
M
M
Yokozawa
M
M
Fujita
S
S
Yonezawa
K
K
Tosaka
M
M
Yoshida
Y
Y
D000208:Acute Disease; D002648:Child; D003093:Colitis, Ulcerative / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008532:Megacolon, Toxic / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D011239:Prednisolone / Q000627:therapeutic use
D005938:Glucocorticoids; D011239:Prednisolone