toxic megacolon
megacolon
[meg″ah-ko´lon]![](file://MEDICAL/X2604-M-18A.png)
单词 | toxic megacolon |
释义 | toxic megacolonmegacolon[meg″ah-ko´lon]![]() tox·ic meg·a·co·lontoxic megacolonAcute megacolon, toxic dilation of colon Gastroenterology A life-threatening complication of GI disease, resulting in transmural inflammation and toxic Sx due to colonic dilation Etiology ulcerative colitis, Crohn's disease, amebiasis, pseudomembranous colitis, typhoid, bacterial dysentery, Hirschsprung's disease Clinical Abdominal pain, distension, fever, tachycardia, fatigue, dehydration, ↓ bowel sounds, tympany, rebound tenderness, hypotension Contributing factors Laxatives, opiate use, anticholinergics, hypopotassemia Lab Leukocytosis–> 20,000/mm3, anemia, hypoalbuminemia, ↓ K+ Complications Perforation, peritonitis, septicemia Management Resuscitation, metabolic support, correct fluid and electrolyte derangements, corticosteroids, subtotal colectomy and ileostomy, salvage rectal sphincter if possible. Cf Megacolon.tox·ic meg·a·co·lon(tok'sik meg'ă-kō'lŏn)toxic megacolonA gaseous ballooning or dilatation of the colon occurring as a complication of inflammatory bowel disease such as ulcerative colitis or Crohn's disease. The danger is of perforation which carries a high mortality. The condition can often be relieved by turning the patient into the prone position.Toxic megacolontox·ic meg·a·co·lon(tok'sik meg'ă-kō'lŏn) |
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