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What is A middle aged male, who is a diagnosed case of chronic ulcerative colitis, presents to emergency with fever and diarrhea for 1 week and acute onset pain abdomen for 6 hours. An erect abdominal X-ray was taken as shown. What is the likely diagnosis? and explain in detail?
X-rayshows massively distended transverse colon,ahaustral left colon -History of fever & diarrhea Toxic megacolon: - Life threatening - Occurs in patients of UC and CD . - Diameter > 6 cm - Medical management- Stabilization| Fluids + I/V anti-biotics - TOC - TAC with Ileostomy PMC - No colonic distension, fever & diarrhea Adenocarcinoma colon - No massive distention, fever & diarrhea Pneumatosis intestinalis - Collection of air in the wall of intestine.