DB32.20

ICD-11 MMS 2026-01

Toxic megacolon

Description

Toxic megacolon is an acute form of colonic distension characterised by a very dilated colon, accompanied by abdominal distension (bloating), and sometimes fever, abdominal pain, or shock. "Toxic" means that this complication occurs with inflammation. Toxic megacolon is a rare, life-threatening widening of the large intestine that occurs within a few days, occurring as a complication of inflammatory bowel disease, such as ulcerative colitis and Crohn disease, or colitis of infectious origin.

Index terms

  • Toxic megacolon
  • toxic dilatation of colon
  • toxic functional megacolon
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  • Toxic megacolon due to Crohn disease
  • Toxic megacolon due to ulcerative colitis

Exclusions from above levels

  • LB16.1 – Hirschsprung disease
  • 01 – Certain infectious or parasitic diseases
  • 02 – Neoplasms
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  • 05 – Endocrine, nutritional or metabolic diseases
  • 06 – Mental, behavioural or neurodevelopmental disorders
  • 18 – Complications of pregnancy, childbirth and the puerperium
  • 22 – Injury, poisoning or certain other consequences of external causes

Sibling codes

  • DB32.2Y – Other specified megacolon
  • DB32.2Z – Megacolon, unspecified

Foundation entity

Toxic megacolon – http://id.who.int/icd/entity/1497870078

Allowed postcoordination axes

Part of: DB32.2: Megacolon › DB32: Motility disorders of large intestine › 13: Diseases of the digestive system