Toxic Megacolon
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0348-Toxic Megacolon

CA0348-Toxic Megacolon
Case ReportHistory
Exam
Prior Study
Findings
Technique
The entire abdomen/pelvis is not covered on the exam. The lung bases are excluded, but the region of interest is included on the exam.
Lines, Tubes, Drains, and Foreign Bodies
There are post-surgical changes of the left lateral abdomen and pelvis.
Stomach and Bowel Gas
The cecum is dilated measuring about 11 cm. There is dilatation of the ascending, transverse, and descending colon measuring over 6 cm. The greatest diameter of the transverse colon is about 12 cm. There is thickening or thumbprinting of the wall of the transverse and descending colon. The small bowel is not dilated.
Solid Organs and Intra-Abdominal Soft Tissues
The solid organs and intra-abdominal soft tissues are unremarkable.
Extraluminal Air
There is no pneumatosis. No free air is evident on this supine view. There is no portal venous gas.
Additional Abdominal and Pelvic Calcifications
None.
Bones and Extra-Abdominal Soft Tissues
Normal. The lung bases are excluded.