Colon and Rectum

  • Herand Abcarian


A 54-year-old patient, while being managed for nosocomial pneumonia, develops an antibiotic-induced colitis (pseudomembranous colitis). Although Flagyl was given orally, the patient becomes febrile and toxic. He is admitted to the intensive care unit and broadspectrum antibiotics are initiated. Radiographic findings are consistent with a toxic megacolon. The patient continues to deteriorate. Which of the following is the most appropriate treatment option?
  1. (A)

    Limitation of antifungal therapy

  2. (B)

    Decompressive colonoscopy

  3. (C)

    Segmented resection

  4. (D)

    Abdominal colectomy

  5. (A)

    Administration of a prokinetic agent



Ischemic Colitis Toxic Megacolon Rubber Band Ligation Cecal Volvulus Transverse Colon Cancer 
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.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Herand Abcarian
    • 1
  1. 1.Department of Surgery, University of Illinois at ChicagoUniversity of Illinois at Chicago Medial CenterChicagoUSA

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