Pseudomembranous colitis

Case contributed by Dr Bruno Di Muzio

Presentation

Patient presents on emergency two days ago with diarrhoea, fever and abdominal pain.

Patient Data

Age: 55
Gender: Female
CT

CT Abdomen and pelvis

Diffuse subcutaneous oedema, ascites, pleural effusion and diffuse colonic wall thickening. 

Case Discussion

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.

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Case information

rID: 24996
Case created: 26th Sep 2013
Last edited: 30th May 2017
Tags: colon, colitis
Inclusion in quiz mode: Included

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