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.
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