Generalized Peritonitis due to Acute Fulminant Amoebic Colitis.
- Author:
Jong Ik PARK
1
;
Dong Gyeu SHIN
;
Sang Soo PARK
;
Jin YOON
;
Il Myung KIM
Author Information
1. Department of Surgery, Seoul Medical Center, Seoul, Korea. shinedk@hanmail.net
- Publication Type:Case Report
- Keywords:
Amoebiasis;
Fulminant colitis;
Generalized peritonitis
- MeSH:
Amebiasis;
Colon;
Disseminated Intravascular Coagulation;
Dysentery, Amebic*;
Emergencies;
Laparotomy;
Mortality;
Multiple Organ Failure;
Peritonitis*;
Sepsis
- From:Journal of the Korean Surgical Society
2005;69(1):79-82
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An acute fulminant amoebic colits rarely develops as a complication of amoebiasis, and is difficult to diagnose and treat when it occurs. It is a life-threatening disease, and associated with a very high mortality rate. Herein, a case 42-old-year man, who had a generalized peritonitis caused by an acute fulminant amoebic colitis, is reported, with a review of the literature. He died of multiple organ failure, following sepsis and disseminated intravascular coagulation, on the 19th day after his operation, despite treatment with aggressive surgery and anti-amoebic agents. An emergency laparotomy should be considered when an acute fulminant amoebic colitis deteriorates despite the use of intensive anti-amoebic therapy, especially when there is an acute episode suggestive of perforation. A primary total resection of the diseased colon is one of the treatments of choice.
