<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-9957</journal-id>
<journal-title><![CDATA[Revista colombiana de Gastroenterología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Col Gastroenterol]]></abbrev-journal-title>
<issn>0120-9957</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Gastroenterología  ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-99572018000200166</article-id>
<article-id pub-id-type="doi">10.22516/25007440.256</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Megacolon tóxico de origen idiopático: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Megacolon toxic of idiophatic origin: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Siado]]></surname>
<given-names><![CDATA[Sergio Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez]]></surname>
<given-names><![CDATA[Héctor Conrado]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Montalvo.]]></surname>
<given-names><![CDATA[Carlos Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Belo Horizonte  ]]></institution>
<addr-line><![CDATA[Neiva ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Hernando Moncaleano Perdomo  ]]></institution>
<addr-line><![CDATA[Neiva ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Surcolombiana  ]]></institution>
<addr-line><![CDATA[Neiva ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>33</volume>
<numero>2</numero>
<fpage>166</fpage>
<lpage>171</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-99572018000200166&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-99572018000200166&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-99572018000200166&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El megacolon tóxico (MT) es una patología con una tasa de mortalidad superior al 80% desencadenada por un proceso inflamatorio progresivo que compromete la pared del colon con dilatación secundaria de la luz intestinal debido a procesos inflamatorios o infecciosos. Su presentación clínica es infrecuente y los pilares básicos en su manejo son un diagnóstico oportuno, un manejo médico adecuado (antibiótico, reanimación hídrica y corrección metabólica) y, de ser necesario, un manejo quirúrgico eficaz que evite al máximo las complicaciones que empeoran el pronóstico de los pacientes. En este artículo se presenta un caso de una paciente con choque séptico secundario a MT, con desenlace fatal y con sospecha de un cuadro de colangitis grado III descartado por ecografía, lo cual generó distorsiones en su enfoque y manejo inicial. Por deterioro clínico y distensión abdominal, la paciente se llevó a laparoscopia diagnóstica en la que se evidenció un compromiso isquémico severo de todo el colon sin compromiso de intestino delgado, razón por la que se le realizó una colectomía total. El reporte de patología y la historia clínica descartan colitis ulcerativa o enfermedad de Crohn, lo que confirmó el MT. La paciente no presentaba factores de riesgo para el desarrollo de colitis pseudomembranosa. Se concluyó que fue la presentación de un caso de MT idiopático.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Toxic megacolon is a pathology whose mortality rate is over 80%. A progressive inflammatory process compromises the colon wall, and secondary dilation of the intestinal lumen occurs due to inflammatory or infectious processes. Its clinical presentation is bizarre. but the basic pillars for management are opportune diagnosis and adequate medical management with antibiotics, water resuscitation, and metabolic correction. If necessary, effective surgical management can prevent the development of complications that worsen the disease and the prognosis of a patient. In this article we present the case of a patient who died after developing septic shock secondary to toxic megacolon. Cholangitis grade III was suspected, but discarded after ultrasonography, and this resulted in generated distortions in approach and initial management. Due to clinical deterioration and abdominal distension, the patient underwent diagnostic laparoscopy which revealed severe ischemic compromise of the entire colon but without involvement of the small intestine. For this reason, a total colectomy was performed. The pathology report and clinical history ruled out ulcerative colitis or Crohn&#8217;s disease which confirmed the diagnosis of toxic megacolon. The patient had no risk factors for the development of pseudomembranous colitis. We conclude that this was a case of idiopathic toxic megacolon.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Megacolon tóxico]]></kwd>
<kwd lng="es"><![CDATA[colitis infecciosa]]></kwd>
<kwd lng="es"><![CDATA[abdomen agudo]]></kwd>
<kwd lng="es"><![CDATA[colitis]]></kwd>
<kwd lng="es"><![CDATA[colangitis]]></kwd>
<kwd lng="es"><![CDATA[sepsis]]></kwd>
<kwd lng="en"><![CDATA[Toxic megacolon]]></kwd>
<kwd lng="en"><![CDATA[infectious colitis]]></kwd>
<kwd lng="en"><![CDATA[acute abdomen]]></kwd>
<kwd lng="en"><![CDATA[colitis]]></kwd>
<kwd lng="en"><![CDATA[cholangitis]]></kwd>
<kwd lng="en"><![CDATA[sepsis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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<issue>35</issue>
<page-range>1965-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
