A case of fulminant amebic colitis with multiple large intestinal perforations

Int Surg. 2010 Oct-Dec;95(4):356-9.

Abstract

Amebic colitis normally causes mucous and bloody diarrhea stool as predominant symptoms, thus leading to a course of chronic colitis. However, though rare, there exists a fulminating type that causes intestinal perforations due to wide necrosis of the large intestine. We encountered a case of fulminant amebic colitis that lead to death due to multiple large intestinal perforations. The patient was a 72-year-old female. The patient was admitted to our hospital with symptoms of fever, abdominal pain, and diarrhea. She continued to have a fever of over 38 degrees C and increased left abdominal pain. An abdominal computed tomography scan revealed free gas on the abdominal side of the kidney. Therefore, gastrointestinal perforations were diagnosed and surgery was performed. In surgery, many perforated parts were observed from the appendix to the descending colon, and subtotal colectomy was performed. However, sepsis and disseminated intravascular coagulation occurred, and the patient died on the eighth postoperative day.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Dysentery, Amebic / complications*
  • Dysentery, Amebic / diagnostic imaging
  • Dysentery, Amebic / surgery*
  • Fatal Outcome
  • Female
  • Humans
  • Intestinal Perforation / diagnostic imaging
  • Intestinal Perforation / parasitology*
  • Intestinal Perforation / surgery*
  • Tomography, X-Ray Computed