Perforated Toxic Megacolon: The Dreaded Complication in IBD

Toxic megacolon is a dreaded complication of inflammatory bowel disease. Unfortunately, it is usually diagnosed late and, in cases of perforation, has a high mortality rate and is associated with a poor prognosis. We present a case of perforated toxic megacolon in a young woman with undiagnosed ulcerative colitis, highlighting the clinical course and outcome of this condition along with the need for prompt detection and intervention. It was difficult to manage this case in a district hospital because of the limited subspecialty support and resources.