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Toxic megacolon

Toxic megacolon is a rare but dangerous condition that occurs when the colon swells to many times its normal size. It is usually a complication of an inflammatory bowel disease, such as ulcerative colitis or Crohn's disease.

Severe inflammation and ulceration can weaken muscles in the colon, causing the colon to swell. Symptoms may include a swollen belly, abdominal pain or tenderness, rapid heartbeat, or fever. Over time, holes (perforations) may form in the colon, and stool may spill into the abdominal cavity, causing a serious infection. This can be life-threatening.

Toxic megacolon is an emergency that requires immediate medical treatment to prevent dehydration and shock. Surgery may be needed to remove all or part of the colon (colectomy).

Author Jeannette Curtis
Author Caroline Rea, RN, BS, MS
Editor Kathleen M. Ariss, MS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Associate Editor Pat Truman
Primary Medical Reviewer Patrice Burgess, MD
- Family Medicine
Primary Medical Reviewer Adam Husney, MD
- Family Medicine
Primary Medical Reviewer Kathleen Romito, MD
- Family Medicine
Last Updated May 25, 2007

WebMD Medical Reference from Healthwise

Last Updated: May 25, 2007
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