Two Cases of Amebic Colitis Associated with Colon Perforation

Naoki Nishiwaki, Kyuji Honda, Hirotaka Kishikawa, Hironori Tanaka, satoshi Taniwaki, Hiroaki Naruse, Kazuko Ito, Masahiro Kaji

Department of Surgery, Nagoya-Municipal Higashi City Hospital

Case 1 was a 75-year-old man who admitted to a hospital because of diarrhea and melena. The patients was diagnosed ulcerative colitis and underwent Ba-enema and colonoscopy. Because of colon is perforation he underwent an emergency operation. Entamoeba histolytica was identified histologically and he addmitted our hospital. Case 2 was a 28-year-old man who consulted a hospital and was diagnosed ulcerative colitis but anal bleeding did not disappear. He admitted our hospital because entamoeba histolytica was identified histologically. During the subsequent 2 days abdominal pain rapidly increased and he underwent an emergency operation. Recently amoebiasis has been increasing gradually in Japan, especially as a sexally transmitted disease in homosexual. Once perforation occurred, its mortality rate is very high. We keep flaminant course of amebic colitis in mind, and early diagnosis is paramount when paforation occurs.

Key words
amebic colitis, colon perforation

Reprint requests
Naoki Nishiwaki Department of Surgery, Toyota Memorial Hospital
1-1 Heiwacho, Toyota City, 471 JAPAN

Accepted
October 9, 1996

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