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KMID : 0385920170280030282
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Journal of the Korean Society of Emergency Medicine
2017 Volume.28 No. 3 p.282 ~ p.285
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Cardiac Arrest in a Patient with a Severely Distended Colon
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Park Sung-Wook
Cho Young-Mo
Kim Hyung-Bin
Bae Byung-Kwan
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Abstract
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Toxic megacolon is a devastating complication of colitis, which is commonly caused by inflammatory bowel disease. Frequently reported complications of toxic megacolon are bleeding, sepsis, colon perforation, and shock. Herein, we report a rare case of cardiac arrest that was likely caused by toxic megacolon in a 49-year-old male, who experienced 3 months of intermittent dyspnea and abdominal distension that abruptly worsened before presentation. Our case suggests that severe colon dilation complicated by toxic megacolon, especially accompanied by cardiopulmonary symptoms and signs, has the potential to progress to an abdominal compartment syndrome, which is a rare but life-threatening complication.
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KEYWORD
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Megacolon, toxic, Heart arrest, Critical care, Case reports
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