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Digestive Diseases and Sciences

, Volume 55, Issue 2, pp 538–538 | Cite as

The Sigmoid Colon of Ulcerative Colitis

  • Akira Hokama
  • Yasushi Ihama
  • Hiroshi Chinen
  • Kazuto Kishimoto
  • Fukunori Kinjo
  • Jiro Fujita
Correspondence
  • 394 Downloads

Keywords

Ulcerative Colitis Sigmoid Colon Barium Enema Megacolon Uneventful Recovery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
A 70-year-old man with a 20-year history of ulcerative colitis was referred to our emergency unit for haematochezia of 2 weeks’ duration. Physical examination showed localized tenderness in the left lower quadrant without rebound. Plain abdominal radiography showed the sigmoid colon with foreshortening and a loss of haustra (Fig. 1, arrowheads), indicating active ulcerative colitis. His condition got worse despite intensive medical treatments, and he thus underwent total colectomy and end ileostomy with uneventful recovery.
Fig. 1

Plain abdominal radiograph showing the sigmoid colon with foreshortening and a loss of haustra (arrowheads)

Although recent imaging studies have shown progress for assessing intestinal diseases, the plain abdominal radiograph is still crucial for evaluating the severity of ulcerative colitis, especially toxic megacolon, a well-known life-threatening complication. Potential exacerbating factors of ulcerative colitis include colonoscopy and barium enema. In addition to toxic megacolon, we highlight that the tubular appearance on plain abdominal radiographs is quite helpful for assessing the activity of ulcerative colitis in emergency situations.

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Akira Hokama
    • 1
  • Yasushi Ihama
    • 1
  • Hiroshi Chinen
    • 1
  • Kazuto Kishimoto
    • 1
  • Fukunori Kinjo
    • 1
  • Jiro Fujita
    • 1
  1. 1.First Department of Internal MedicineUniversity of the RyukyusOkinawaJapan

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