Pseudomembranous colitis

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Patient with chronic kidney disease on haemodialysis with septic shock and type II respiratory failure on ventilator. Marked abdominal distension. CT to exclude intestinal obstruction.

Patient Data

Age: 70 years
Gender: Male
CT

The positive contrast is seen passing through the entire bowel loops. Low attenuation marked bowel wall thickening and edema of the entire colon is seen more evident on the transverse colon with consequent encroachment upon the colonic interior lumen (luminal narrowing) and formation of crypt like appearance. The contrast is insinuated between the pseudo-membranes and swollen haustra creating an accordion sign. Noted marked ascites, pleural effusion and atropic kidneys.

Case Discussion

The CT findings are suggestive of pseudomembranous colitis in which Clostridioides difficile infection was the etiology.

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Case information

rID: 46176
Published: 24th Jun 2016
Last edited: 27th Jan 2020
Inclusion in quiz mode: Included

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