Toxic MegacolonCreated by:
Toxic megacolon is characterized by total or segmental dilation of the colon plus systemic toxicity, which is two or more of the following criteria : 1.) tachycardia with a pulse rate of greater than 100 beats per minute. 2.) Temperature of greater than 38 celcius. 3.) leucocytosis of greater than 100,000 cells/mm3 4.) Hypoalbuminemia of less than 3.0 g/dL. Is it a potential serious complication of inflammatory bowel disease. If suspected patient having toxic megacolon, a plain film abdomen should be obtained immediately, in which the transverse or right colon will usually dialted of greater than 6cm, and sometime can be up to 15cm.(see photo attched) If confirmed the diagnosis of toxic megacolon, CT-ABD is important to rule ot or look for perforation or vascular compromise.