Fulminant amoebic colitis in the era of computed tomography scan: A case report and review of the literature
SA Journal of Radiology
| Field | Value | |
| Title | Fulminant amoebic colitis in the era of computed tomography scan: A case report and review of the literature | |
| Creator | Mewa Kinoo, Suman Ramkelawon, Vikesh V. Maharajh, Jaynund Singh, Bugwan | |
| Description | Amoebic colitis, caused by ingestion of water or food contaminated with the protozoan Entamoeba histolytica, can progress to a fulminant colitis. Computed tomography (CT) findings reported in the literature on this type of colitis are sparse. We present a 59-year-old male patient with a one-week history of progressive abdominal pain, abdominal distension and associated watery and bloody diarrhoea. A CT scan revealed deep ulcerations with submucosal and intramural tracking of contrast. Colonoscopy and biopsy confirmed a diagnosis of Amoebic colitis. The patient required a laparotomy and demised. Deep ulcerations with submucosal and intramural tracking of contrast on CT are diagnostic of fulminant amoebic colitis. Although not demonstrated at CT in this case, discontinuous bowel necrosis, omental wrapping (seen at laparotomy in our case) and neovascularisation of the bowel wall may be other features to look out for. | |
| Publisher | AOSIS | |
| Date | 2018-08-15 | |
| Identifier | 10.4102/sajr.v22i1.1354 | |
| Source | South African Journal of Radiology; Vol 22, No 1 (2018); 4 pages 2078-6778 1027-202X | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajr.org.za/index.php/sajr/article/view/1354/1983
https://sajr.org.za/index.php/sajr/article/view/1354/1982
https://sajr.org.za/index.php/sajr/article/view/1354/1984
https://sajr.org.za/index.php/sajr/article/view/1354/1981
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