Presentation
Recent surgery, abdominal pain, diarrhea.
Patient Data
Age: 35 years
Gender: Male
From the case:
Toxic megacolon
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Nasogastric tube. Small ascites. Tremendously thickened colon and rectum with submucosal edema/thumbprinting, thickened haustra, and serosal/mucosal hyperemia. Partially occlusive thrombus within the right internal iliac artery.
Case Discussion
Dramatic findings of severe pancolitis characteristic of toxic megacolon, likely related to recent surgery and antibiotic usage resulting in infection from Clostridioides difficile. Colitis this severe needs aggressive supportive care and potential total colectomy due to the risk of perforation.
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