Fulminant amoebic colitis: the role of surgery and the operative approach

Fulminant necrotising amoebic colitis: A diagnostic conundrum.

Fulminant necrotising amoebic colitis is a complication of untreated amoebiasis. This is seen in mainly low-income countries. It has a high mortality rate and is difficult to diagnose. We present an extremely rare case of fulminant necrotising amoebic colitis that caused diagnostic confusion in mimicking an acute abdomen, presumably caused by a perforated duodenal ulcer.

Fulminant Amoebic Colitis: Role of the Innate and Adaptive Immune Responses

Amoebic colitis mimicking a colonic carcinoma

Amoebic colitis is reportedly common with prevalence reported to be in the range of 9 to 50% population depending on geographic and socioeconomic location. Presentation varies from normal to fulminant colitis and therefore endoscopic and subsequently histopathological studies are essential for diagnosis. We present an interesting case of a gentleman undergoing investigations for recurrent anaemia.

Surgery in amoebic colitis.

The feasibility of surgery in amoebic colitis is presented by illustrative case histories in two patients. Subtotal colectomy and ileostomy were carried out for fulminating colitis in the one and exteriorization, excision, and subsequent re-anastomosis of a localized perforated area of bowel in the other. It is suggested that the place of surgery in amoebic colitis should be reappraised, partic...

Acute Fulminant Necrotizing Amoebic Colitis Leading to Intestinal Perforation and Peritonitis

A 4-year old boy presented with acute abdomen for 2 days. There was a history of recurrent abdominal pain for 2 weeks. After initial resuscitation, abdominal radiograph was done, which showed multiple air-fluid levels. Ultrasonography showed dilated bowel loops with thickened wall. Blood investigations revealed anemia and markedly raised C-reactive protein. After optimization, laparotomy was pe...