Abstract
A 63-year-old man was admitted to the hospital because of abdominal pain and melena. He had never gone abroad but was homosexual. During two days after admission the symptoms rapidly became worse. The patient was diagnosed as panperitonitis and underwent emergency operation. During surgery perforation of the cecum associated with amebic colitis was found. Total colorectomy and ileostomy were carried out. Resected specimens of the cecum showed multiple ulcer and entamoeba histolytica was identified histologically. The patient ran a fever postoperatively and on the 13th hospital day reoperation (drainage) was performed for remnant abscess in the bilateral subphrenic spaces. The patient's life could be saved. Postoperative course was uneventful and the patient is followed on an ambulant basis. Fulminant amebic colitis in particular progresses so rapidly that its mortality rate is still very high. It also presents difficulty in diagnosis and delayed administration of anti-amebic agents might lead to poorer prognosis. In this patient remission could be attained finally, but the operative procedures employed were too invasive for an emergency operation. In that point we should reflect and realized acutely that early diagnosis was important.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
