Clostridioides difficile colitis
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Vikas Shah had no recorded disclosures.View Vikas Shah's current disclosures
Recent lower respiratory tract infection. Now has diarrhea and abdominal pain.
Loading Stack -
0 images remaining
Circumferential thickening of the colon wall affecting the entire colon. The hasutra are also thickened most markedly in the transverse colon demonstrating the accordion sign. The lumen contains fluid feces. The small bowel is not involved. There is a small volume of ascites. No free gas and no collections.
Known atrophic right kidney. No other significant abnormality.
Pancolitis is usually due to infection or inflammatory bowel disease, and less commonly ischemia. Multiple features here allow a radiological diagnosis of Clostridioides difficile colitis to be made: recent treatment of a LRTI, no known history of IBD, and in particular, haustral thickening with ascites. This pattern of findings is seen relatively more frequently in this type of colitis. The haustral thickening sometimes leads to a finding known as the accordion sign.
The C. difficile toxin tests were subsequently found to be positive.
2 articles feature images from this case
12 public playlists include this case
- abd by simranjit bawa
- quizz by Mohammed asif
- FRCR 2B by Janice Wee Yong Li
- ct abdomen by Pallavi Kamat
- Digestivv by Popovici Alexandra
- R2R 04/11/2020 by Abdullah Linjawi
- Abdomen by N Seth
- Body by Naveed Ahmad ◉
- abdominal by huệ trần
- Abdomen by Mario Panzenböck
- Good cases by Ayman helmy Mohamed
- Abd Jan by Aimua Harriet