Fulminating Colitis Multiple Drilling: Case Report

Authors

  • Nancy Mendoza-Pineda General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
  • Valeria Karina Ramírez-López General Surgeon, Surgical Department at “Hospital Juárez de México” Specialty Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
  • Juan Carlos Hernández-Ordóñez General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
  • Hugo Neftalí Bocanegra-Eugenio General Surgeon, Surgical Department at “Dra. Obdulia Rodríguez Rodríguez” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
  • Huiyu Beatriz Li-Gómez General Surgeon, Surgical Department at “La Villa” General Hospital. Secretary of Health of Mexico City National Autonomous University of Mexico, México City, México
  • Mario Alberto Zapien-Rangel General Surgeon, Surgical Department at “Dr. Donato G. Alarcón” General Hospital. Secretary of Health of Acapulco Guerrero. Meritorious Autonomous University of Puebla, México City, México
  • Gema Méndez-Barrón General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
  • Mauricio Israel Flores-Pazos General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
  • Giselle Castillo-García General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City National Autonomous University of Mexico, México City, México
  • Jessica Montserrat Herrera-Medina General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
  • Yamileth Jiménez-Bonola General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
  • José Jesús Urbina-Cabello General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
  • Mara Luz Terán-Estrella General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City National Autonomous University of Mexico, México City, México
  • María Isabel Estrada-Rodríguez Podiatrist Pediatrician Department. Regional General Hospital No. 251, Metepec. Mexican Social Security Institute. National Autonomous University of Mexico. México State, México
  • Mireya De La Fuente González General Surgeon, Surgical Department at “Dr. Gaudencio González Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, México City, México
  • Morelos Adolfo García-Sánchez Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of México, México City
  • Leobardo Emilio Valle-Nava General Surgeon, Surgical Department at “Hospital Juárez de México” Specialty Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México

DOI:

https://doi.org/10.14738/bjhmr.106.15850

Keywords:

Fulminant colitis, Toxic megacolon, Acute abdomen, Chronic ulcerated amoebic colitis

Abstract

Introduction: fulminant colitis is a serious infection characterized by the presence of hypotension, shock and/or toxic megacolon. The nobility of the organ is exhausted once its chronic homeostatic adaptation breaks out. Objective: presentation of a case and review of the literature. 44-year-old male in the emergency department, without any significant history. Inmate of the prison system. Reports marijuana use. Bisexual. Conscious, cachectic, with dry mucous membranes, pale integuments, abdominal facies, cardiopulmonary without apparent compromise. Abdomen with colicky pain, increased peristalsis, tympanism present, no visceromegaly is palpable, but with clear signs of an acute abdomen, so he was immediately admitted to the operating room, finding fecal peritonitis due to multiple perforations of the entire colon from the cecum. up to the upper third of the rectum, colectomy and protectomy of the upper third are performed. Histopathology reports “perforated colon in multiple sites with six perforations due to chronic ulcerated amoebic colitis.” Discussion: Fulminant amoebic colitis is a rare complication of amebiasis associated with high mortality and it can occur in more than 50% of cases with severe colitis. Its pathogenicity is associated with its extremely polymorphic genetic structure of this parasite, determined by high-resolution genotyping methods. Conclusion: the defense mechanisms of the target organ and the eccentric pathogenicity of the parasite, together create a symbiotic chronicity, which extremely postpones the decline of the patient's homeostasis, until a catastrophic and/or fatal scenario. The treatment of fulminant amoebic colitis is surgical.

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Published

2023-11-12

How to Cite

Mendoza-Pineda, N., Ramírez-López, V. K., Hernández-Ordóñez, J. C., Bocanegra-Eugenio, H. N., Li-Gómez, H. B., Zapien-Rangel, M. A., … Valle-Nava, L. E. (2023). Fulminating Colitis Multiple Drilling: Case Report. British Journal of Healthcare and Medical Research, 10(6), 1–9. https://doi.org/10.14738/bjhmr.106.15850

Issue

Vol. 10 No. 6 (2023): British Journal of Healthcare and Medical Research

Section

Original Articles

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Copyright (c) 2023 Mendoza-Pineda, Nancy, García-Sánchez, Morelos Adolfo, Mireya De La Fuente González, Estrada-Rodríguez, María Isabel, Terán-Estrella, Mara Luz, Urbina-Cabello, José de Jesús, Jiménez-Bonola, Yamileth, Herrera-Medina, Jessica Montserrat, Castillo-García, Giselle, Flores-Pazos, Mauricio Israel, Méndez-Barrón, Gema, Zapien-Rangel, Mario Alberto, Li-Gómez, Huiyu Beatriz, Bocanegra-Eugenio, Hugo Neftalí, Hernández-Ordóñez, Juan Carlos, Ramírez-López, Valeria Karina, Valle-Nava, Leobardo Emilio

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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