J Med Cases

Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc

Journal website https://www.journalmc.org

Case Report

Volume 12, Number 12, December 2021, pages 481-484

Acute Colonic Pseudo-Obstruction in Severe Falciparum Malaria: A Case Report

Figure

Figure 1. Upright abdominal plain film. (a) Fifty-five hours after admission, the colon was dilated and gas accumulation shown in the splenic flexure (arrow). (b) One day after taking new measures, dilation of the left colon disappeared and intestinal gas accumulation decreased (arrow).

Table

**Table 1.** Laboratory Investigations
Variables	On admission	Day 2	Day 4	Day 11	Normal range
AST: aspartate transaminase; ALT: alanine aminotransferase.
Hemoglobin (g/L)	171	131	128	140	110 - 160
Hematocrit (%)	50.6	38.1	37.6	41.6	37 - 54
White blood cells (× 10⁹/L)	3.9	4.9	5.8	6.0	4 - 10
Platelets (× 10⁹/L)	92	52	112	306	100 - 300
Sodium (mmol/L)	127.8	127.3	131.5	134.7	135 - 145
Potassium (mmol/L)	3.3	3.94	3.91	4.15	3.5 - 5.5
Chloride (mmol/L)	95.93	92.73	96.89	101.43	97 - 107
Creatinine (µmol/L)	77	64.8	76.5	98.8	53 - 115
Blood urea (µmol/L)	2.9	3.2	4.8	3.1	2.9 - 8.2
Total bilirubin (µmol/L)	81.3	189.5	150.2	33.5	3.4 - 17.1
Indirect bilirubin (µmol/L)	48.0	104.6	90.9	17.9	1.7 - 10.2
AST (U/L)	111	208	174	38	0 - 40
ALT (U/L)	108	181	169	65	0 - 40