A case of ulcerative colitis required two emergent operations

Abstract

A man in his 40's diagnosed ulcerative colitis was transferred to our center because of perirectal perforation (Rb). Although he was treated with mesalazine and prednisolone, the condition was getting worse. Immediately, we performed sigmoid colostomy and perirectal drainage to avoid resecting colon as possible. On postoperative three days, melena was recognized in the artificial anus. Subtotal colectomy and ileostomy was performed emergently after transcatheter arterial embolization to stop bleeding. He was discharged on the 47th day of admission. Six months later, rectal amputation was performed. We here report a case of ulcerative colitis saved by prompt decision to undergo operation.