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Pseudomembranous colitis - severe

Case contributed by Maxime St-Amant
Diagnosis certain

Presentation

Septic shock of probable GI origin. Acute bloody diarrhea.

Patient Data

Age: 65 years
Gender: Female

Abdomen

ct

Diffuse nodular thickening of the colon with fat stranding, compatible with extensive pseudomembranous colitis. The colon is dilated, mainly near the hepatic angle, up to 7.8 cm. Important mucosal enhancement of the entire colon is also seen. Moderate ascites. Bilateral pleural effusions.

Case Discussion

Stool cultures were positive for Clostridioides difficile.

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