Abstract

ARELLANO, Nelson Darío  and  PAEZ, Larissa Inés. Colectomy for severe ulcerative colitis. An. Fac. Cienc. Méd. (Asunción) [online]. 2021, vol.54, n.2, pp.151-156. ISSN 1816-8949.  https://doi.org/10.18004/anales/2021.054.02.151.

Ulcerative Colitis (UC) is a multifactorial chronic disease of unknown etiology characterized by the presence of diffuse inflammation in the colonic mucosa and often the presence of bloody diarrhea associated with rectal urgency. A 51-year-old woman came to the emergency room due to rectal bleeding with hypogastric pain and tenesmus, in addition to a month and a half of diarrhea, intermittent fever, anorexia, nausea without vomiting and weight loss of approx. 10 kilos in 1 month, with a distended abdomen, slightly depressible, painful in the hypogastrium. Colonoscopy and pathological anatomy report a Pancolonic Ulcerative Rectocolitis. The patient continues with poor evolution despite medical treatment, so a surgical approach is decided with a subtotal colectomy, terminal ileostomy and sigmoid fistula due to severe acute colitis refractory to treatment. Medical treatment prior to a surgical approach in this case was limited by the availability of drugs. This highlights the need for a multidisciplinary management of colorectal pathologies.

Keywords : Ulcerative colitis; management; colectomy..

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