Multiple Rectal Ulcers (40 of 110)
Case description
Patients with toxic megacolon often present in the
emergency department as having abdominal distention
superimposed on chronic or acute diarrhea. The diagnosis
should be considered in all such patients. The diagnosis is
usually based on thorough clinical history taking and
physical examination combined with plain abdominal
radiography. CT has a limited role, although it better
depicts the anatomic detail of transmural disease,
mesenteric involvement, and intraperitoneal complications
of inflammatory bowel disease.
emergency department as having abdominal distention
superimposed on chronic or acute diarrhea. The diagnosis
should be considered in all such patients. The diagnosis is
usually based on thorough clinical history taking and
physical examination combined with plain abdominal
radiography. CT has a limited role, although it better
depicts the anatomic detail of transmural disease,
mesenteric involvement, and intraperitoneal complications
of inflammatory bowel disease.
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