Multiple Rectal Ulcers (35 of 110)

Cyanosis Distal

The patient's clinical condition deteriorated over the next
18 hours despite steroid and antibiotic therapy, and the
patient had to undergo total colectomy and ileostomy.

The diagnosis of toxic megacolon is based on clinical
findings, simple laboratory results, and a careful scrutiny of
the plain abdominal radiograph. Usually, no other radiologic
investigations are required. Once toxic megacolon is
diagnosed, the patient must be immediately admitted to an
intensive care unit where he or she can be monitored by
intensivists and a team of physicians and surgeons. The
mortality rate is high, at 20%.