Toxic megacolon abdominal x ray

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Toxic Megacolon Microchapters

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

An x-ray may be helpful in the diagnosis of toxic megacolon. Findings on an x-ray diagnostic of toxic megacolon include dilated transverse colon (>6cm), thumbprinting, free intraperitoneal air and intraluminal soft-tissue masses.

X Ray

X-ray showing toxic megacolon source:Case courtesy of Dr Sinéad Culleton, Radiopedia


X-ray showing toxic megacolon source:By Hellerhoff (Own work) [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0), Wikimediacommons]

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References

  1. Rosenberg M (1976). "Toxic megacolon". West. J. Med. 124 (2): 122–7. PMC 1130453. PMID 1246881.
  2. James B, Kelly B (2013). "The abdominal radiograph". Ulster Med J. 82 (3): 179–87. PMC 3913410. PMID 24505155.
  3. Leal RF, Ward M, Ayrizono Mde L, de Paiva NM, Bellaguarda E, Rossi DH, Vieira NP, Fagundes JJ, Rodrigues Coy CS (2013). "Free peritoneal perforation in a patient with Crohn's disease - Report of a case". Int J Surg Case Rep. 4 (3): 322–4. doi:10.1016/j.ijscr.2012.12.018. PMC 3604674. PMID 23416499.
  4. Miller, Roscoe (1983). The Radiological Examination of the Colon : Practical Diagnosis. Dordrecht: Springer Netherlands. ISBN 9789400967847.
  5. Fazio VW (1980). "Toxic megacolon in ulcerative colitis and Crohn's colitis". Clin Gastroenterol. 9 (2): 389–407. PMID 7389174.
  6. Strong, Scott (2010). "Management of Acute Colitis and Toxic Megacolon". Clinics in Colon and Rectal Surgery. 23 (04): 274–284. doi:10.1055/s-0030-1268254. ISSN 1531-0043.

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