A CASE OF FULMINANT AMEBIC COLITIS

Abstract

A 53-year-old man with bloody mucous diarrhea and anal pain was found to have an abscess around the anus and underwent incision and drainage. Since bloody mucous diarrhea continued after surgery and ileus developed, the patient was transferred to our hospital, at which time he had a high fever, abdominal tenderness, and induration of the anal region. Abdominal X-P and CT detected ileus. Since abdominal pain was aggravated the next day, laparotomy was conducted and most of the colon found to be necrotic. Resection of the total colon and ileostomy were done, but the patient developed postoperative multiple organ failure and died. A diagnosis of amebic colitis was made based on histopathological examination. Patients with bloody mucous diarrhea should be diagnosed early based on this possibility. For surgery in fuluminant cases, the procedure should be selected based on the patient's general condition.