BMJ Case Reports 2012; doi:10.1136/bcr.11.2011.5230
  • Unexpected outcome (positive or negative) including adverse drug reactions

Ulcerative colitis presenting as acute infectious gastroenteritis with a paralytic ileus

  1. Walther E Tjon a Ten2
  1. 1Pediatrics Department, Juliana Childrens’ Hospital, The Hague, Netherlands
  2. 2Pediatrics Department, Máxima Medical Centre, Veldhoven, Netherlands
  1. Correspondence to Walter E Tjon a Ten, W.TjonaTen{at}


A 15-year-old girl who presented with signs of acute infectious gastroenteritis, just as two members of her family is described. As the patient did not improve, a sigmoidoscopy was performed and the diagnosis of ulcerative colitis (UC) was made. Our hypothesis is that an infection triggered the development of UC. Her paralytic ileus was probably triggered by the increased nitric oxide produced in the macrophages and smooth muscles of the inflamed bowel.


  • Competing interests None.

  • Patient consent Obtained.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article