A known case of ulcerative colitis presented to emergency with abdominal distension & tenderness. X ray abdomen is given below. Which of the following is true regarding patient condition?
Given scenario suggests diagnosis of toxic megacolon in a known case of ulcerative colitis patient X ray abdomen shows dilated transverse colon >6 cm It is more commonly seen in ulcerative colitis than crohn disease Can be triggered by electrolyte abnormalities and narcotics Massive dilatation of colon leads to necrotic thin walled colon causing perforation Rx- Medical management- Fluids, IV antibiotics & suppoive Total abdominal colectomy with ileostomy
Toxic megacolon
Rarely seen in ulcerative colitis
Sigmoid volvulus
Adhesions
Inflammatory Bowel Disease