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RADIOLOGIC OBSERVATIONS ON INTESTINAL AMEBIASIS

T. M. KOLAWOLE M.B., B.S. (LOND), D.M.R.D., F.F.R. and E. A. LEWIS M.B., B.S. (LOND), M.R.C.P. (ED), D.T.M. & H. (LIV)

Eight cases of intestinal amebiasis are described: 4 with ameboma (one of which was annular in type simulating a carcinoma, and another presenting as intussusception); 2 with toxic dilatation; 2 with multiple strictures; and 1 with pseudodiverticula.

Intussusception and multiple strictures are rare in amebiasis. Pseudodiverticula are unknown in amebiasis. These changes are reported in this series.

One case presenting with toxic dilatation demonstrated the radiologic progression from the initial ulcerative type of the disease to the late chronic stage of the disease with the classical "pipe-stem" colon. Another fulminating case demonstrated that fibrosis could occur in areas of severe mucosal changes within 2 weeks of treatment.

The disease involved the cecum in all cases, the entire colon in 5 cases, and the rectum in 4 cases.

The close similarities in the radiologic appearances of intestinal amebiasis and nonspecific chronic ulcerative colitis are emphasized.

The lack of involvement of the terminal ileum in amebic colitis is stressed in the discussion of the differential diagnosis of amebic colitis.


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