LOWER INTESTINAL BLEEDING BY AMEBIC-COLIT IS

Amebiasis is an infectious disease produced by Entamoeba histolytica, which has invasion capacity of the colon mucosa. It has different clin ical forms, varying from the asymptomatic carrier state to severe, alt hough not frequent, fulminant or necrotizing colitis, with an importan t necrosis of the colon mucosa. Perforation or intestinal bleeding are possible. We report one case of patient who had a history of recient travel to India. Was admitted with a clinical picture of abdominal pai n, diarrhea and fever. Initially he received treatment with Metronidaz ole and steroids, because of doubts in the endoscopy diagnosis of Croh n's Disease versus Amebic Colitis. The patient developed a fulminant c olitis, that required emergency surgery because of lower intestinal ma ssive bleeding. During the operation perforations of the caecum and re ctum were found. We performed a total colectomy with ileostomy and clo sing of the stump rectal. Six months later a second operation was made for the reconstruction of the intestinal continuity by an ileal pouch and rectal anastomosis.