We introduce a young @entity1 , without history of @entity29 (I.B.D.) who started with an @entity697 , which in the following days progressed to a toxic megacolon. The @entity1 had come to hospital with @entity390 , @entity391 , fever and liquid, explosive @entity294 without pathologic products. There was no clinical remission with astringent diet, hydroelectrolitic reposition and antidiarrheic opiates. The @entity1 was admitted in hospital when he had blood in the @entity294 . This progressed to a toxic megacolon in three days and the @entity1 had to be operated on urgently. The surgeons found perforations in the colon and the pathologists diagnosed @entity30 . Even without previous E.B.D. history we reached the diagnosis from the clinical and analytical data and the plain abdominal radiology. It was impossible to confirm the diagnosis with a colonoscopy because of the high risk of perforation. In cases like this, early surgery may save the life of the @entity1 .

[Toxic megacolon presenting as XXXX ].

@entity1 :: ('9606', 'Species') :: ['patient'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute gastroenteritis'] @entity390 :: ('MESH:D009325', 'Disease') :: ['nausea'] @entity294 :: ('MESH:D003967', 'Disease') :: ['diarrhoea'] @entity391 :: ('MESH:D014839', 'Disease') :: ['vomiting'] @entity29 :: ('MESH:D015212', 'Disease') :: ['inflammatory bowel disease'] @entity30 :: ('MESH:D003424', 'Disease') :: ['Crohn disease']
@entity30 :: (MESH:D003424,Disease) :: ['Crohn's disease']
