Acute flare of ulcerative colitis resulting in perforation and managed with colectomy: Case report and literature review

  • Daljeet Chahal University of British Columbia
  • Tejbir Chahal University of British Columbia

Abstract

We present the case of a 34 year old male with a previous diagnosis of ulcerative colitis who presented with an acute flare resulting in bowel perforation and pneumo-peritoneum ultimately requiring total colectomy. Acute presentation of ulcerative colitis is a potentially life-threatening medical emergency requiring immediate medical treatment to induce disease remission and address any superimposed infections. Complications of acute ulcerative colitis include bowel perforation and toxic megacolon, particularly after colonoscopy. Extra precautions should be taken when planning colonoscopy for these patients in an attempt to reduce the risk of such perforation. We outline the diagnosis, management and complications associated with such acute flares of colitis.

Author Biographies

Daljeet Chahal, University of British Columbia
Medical Resident, University of British Columbia
Tejbir Chahal, University of British Columbia
Medical Student, University of British Columbia
Published
2017-05-31
Section
Case and Elective Reports