[A case of fulminant amoebic colitis with an abscess in the abdominal cavity rescued by conservative management].
A 75-year-old man was admitted because of watery diarrhea, hematochezia and right lower abdominal pain. Many deep undermining colonic ulcers were found by colonoscopy, and we detected trophozoite amoeba pathologically. Metronidazole was administered orally from 3 days after admission. However, since CT demonstrated a huge abscess in the abdominal cavity, we performed percutaneous drainage from 17 days after admission. On day 157, the patient was discharged, because the colonic ulcers had almost healed, and trophozoite amoebas were not recognized pathologically.
Department of Gastroenterological Medicine, Toranomon Hospital. matsui3514@gmail.com
Akira
A
Matsui
Kousuke
K
Nomura
Hiroyuki
H
Odagiri
Akihiro
A
Yamada
Kaoru
K
Domon
Satoshi
S
Yamashita
Tsukasa
T
Furuhata
Daisuke
D
Kikuchi
Masanori
M
Nakamura
Toshifumi
T
Mitani
Osamu
O
Ogawa
Toshiro
T
Iizuka
Shu
S
Hoteya
Mitsuru
M
Kaise
Shuichirou
S
Matoba
Takeshi
T
Fujii
D018784:Abdominal Abscess / Q000628:therapy*; D000368:Aged; D004322:Drainage; D004404:Dysentery, Amebic / Q000473:pathology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use
D008795:Metronidazole