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A 37-year-old man with a history of ulcerative colitis treated with infliximab and azathioprine is admitted to the hospital with abdominal distention, pain, and a fever of 98.6°F (37°C). After 24 hours of intravenous (IV) methylprednisolone, IV levofloxacin and metronidazole, bowel rest, and resuscitation, his heart rate has increased to 120 beats/min and his temperature is 102.2°F (39°C). Urgent computed tomography reveals megacolon without perforation. The best next step in management is:
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Citation
"" ASCRS Question Bank, ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717143/all/Benign_Disease. Accessed 21 April 2026.
ASCRS Question Bank. https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717143/all/Benign_Disease. Accessed April 21, 2026.
In ASCRS Question Bank https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717143/all/Benign_Disease
[Internet]. In: ASCRS Question Bank. [cited 2026 April 21]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717143/all/Benign_Disease.
* Article titles in AMA citation format should be in sentence-case
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T1 -
ID - 3717143
BT - ASCRS Question Bank
UR - https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717143/all/Benign_Disease
DB - ASCRS U
DP - Unbound Medicine
ER -
ASCRS Question Bank

