Patient presents on emergency two days ago with diarrhoea, fever and abdominal pain.
CT Abdomen and pelvis
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Diffuse subcutaneous oedema, ascites, pleural effusion and diffuse colonic wall thickening.
This case shows a pancolitis with marked mucosal oedema.
The diagnosis of Clostridium difficile colitis was confirmed.
This infection is usually preceded by antibiotic use or chemotherapy and is therefore usually encountered in unwell, hospitalized patients with significant comorbidities. Cephalosporins are often the predisposing antibiotic.
The transverse colon appearance is characteristic - termed the accordion sign.