A case of ulcerative colitis accompanied with perforated megacolon

This report presents a 31-year-old man with perforated megacolon who was successfully treated with conservative therapy. He was admitted to Yamaguchi University Hospital in July 6 1998, with active ulcerative colitis which did not respond to prednisolone (PSL) 40mg/day, 5-amino-salicylic acid (5-ASA)1500mg/day. On admission, the chest radiograph revealed the free air and the abdominal radiograph revealed a dilatation of the transverse colon (6cm in diameter), indicating the presence of perforated megacolon without systemic toxicity. The patient made favorable clinical course without colectomy. Thereafter he had remained in remission for 3 years. Early recognition of megacolon may improve the prognosis of ulcerative colitis.

潰瘍性大腸炎

巨大結腸症

腸管穿孔

本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである