إدارة الزحار الأميبي الحاد في التهاب القولون الأميبي الخاطف مع مشاركة قولونية واسعة النطاق، والثقب، والتهاب الصفاق

References

• Life-threatening manifestations of amebic colitis include fulminant infection, which can result in massive areas of colonic involvement with perforation and peritonitis, bowel necrosis, or toxic megacolon.
• Patients may be toxic in appearance, febrile, and hypotensive, with profuse bloody diarrhea, abdominal pain, distension, and signs of peritonism.
• Patients with fulminant amebic colitis will additionally require fluid resuscitation, broad-spectrum antimicrobial therapy for peritonitis, intensive supportive care, and surgical intervention for bowel perforation and bowel necrosis.
• Occasionally, colectomy has been necessitated by the development of toxic megacolon or extensive bowel necrosis.