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Toxic megacolon in ulcerative colitis. Early diagnosis and management.
Hosp Pract (Off Ed). 1986 Sep 15; 21(9):102A-102D, 102H, 102K-102M passim.HP

Abstract

The diagnosis of toxic megacolon is based on a thorough history and physical examination, simple laboratory tests, and careful examination of plain abdominal films. As with other uncommon conditions, making the correct diagnosis requires a high index of suspicion. This is especially true when toxic megacolon is the initial manifestation of ulcerative colitis. In this setting, a previous history of chronic diarrhea may be lacking. Patients with toxic megacolon are usually first seen in the emergency room, so the diagnosis must be entertained in all patients presenting with abdominal distention and acute or chronic diarrhea. The diagnosis of toxic megacolon does not require CT scans, ultrasound examinations, radionuclide scans, colonoscopy, or barium enema. In fact, reliance on those nonessential diagnostic procedures may delay diagnosis while the patient continues to deteriorate. Once toxic megacolon is diagnosed, the patient should be admitted immediately to an intensive care unit for careful monitoring by both medical and surgical staff.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

3091613

Citation

LaMont, J T., and G P. Kandel. "Toxic Megacolon in Ulcerative Colitis. Early Diagnosis and Management." Hospital Practice (Office Ed.), vol. 21, no. 9, 1986, 102A-102D, 102H, 102K-102M passim.
LaMont JT, Kandel GP. Toxic megacolon in ulcerative colitis. Early diagnosis and management. Hosp Pract (Off Ed). 1986;21(9):102A-102D, 102H, 102K-102M passim.
LaMont, J. T., & Kandel, G. P. (1986). Toxic megacolon in ulcerative colitis. Early diagnosis and management. Hospital Practice (Office Ed.), 21(9), 102A-102D, 102H, 102K-102M passim.
LaMont JT, Kandel GP. Toxic Megacolon in Ulcerative Colitis. Early Diagnosis and Management. Hosp Pract (Off Ed). 1986 Sep 15;21(9):102A-102D, 102H, 102K-102M passim. PubMed PMID: 3091613.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Toxic megacolon in ulcerative colitis. Early diagnosis and management. AU - LaMont,J T, AU - Kandel,G P, PY - 1986/9/15/pubmed PY - 1986/9/15/medline PY - 1986/9/15/entrez SP - 102A-102D, 102H, 102K-102M passim JF - Hospital practice (Office ed.) JO - Hosp Pract (Off Ed) VL - 21 IS - 9 N2 - The diagnosis of toxic megacolon is based on a thorough history and physical examination, simple laboratory tests, and careful examination of plain abdominal films. As with other uncommon conditions, making the correct diagnosis requires a high index of suspicion. This is especially true when toxic megacolon is the initial manifestation of ulcerative colitis. In this setting, a previous history of chronic diarrhea may be lacking. Patients with toxic megacolon are usually first seen in the emergency room, so the diagnosis must be entertained in all patients presenting with abdominal distention and acute or chronic diarrhea. The diagnosis of toxic megacolon does not require CT scans, ultrasound examinations, radionuclide scans, colonoscopy, or barium enema. In fact, reliance on those nonessential diagnostic procedures may delay diagnosis while the patient continues to deteriorate. Once toxic megacolon is diagnosed, the patient should be admitted immediately to an intensive care unit for careful monitoring by both medical and surgical staff. SN - 8750-2836 UR - https://www.unboundmedicine.com/medline/citation/3091613/Toxic_megacolon_in_ulcerative_colitis__Early_diagnosis_and_management_ L2 - https://www.diseaseinfosearch.org/result/7285 DB - PRIME DP - Unbound Medicine ER -