Journal of Surgery

Synchronous Perforation of Transverse and Sigmoid Colon due to Ulcerative Colitis: A Rare Case Report

Abstract

Ahmad Al Hazmi, Nidal Abu Jkeim, Awad Alawad, Rashid Ibrahim, Ahmad Abu Damis, Samir Tawfik and Mohammed Mansour

Acute severe ulcerative colitis is a potentially life-threatening condition that requires a pro-active approach with either effective medical treatment or timely colectomy. The possibility of free perforation in ulcerative colitis must be considered in fulminating cases. This report describes a 39 -year- old female with known ulcerative colitis on maintenance medical therapy. She was admitted for peritonitis, and intraoperative findings revealed a synchronous colonic perforation. After multidisciplinary discussion she was managed with total colectomy and end ileostomy.