Pseudomembranous colitis (severe)

Case contributed by Dr Maxime St-Amant

Presentation

Septic shock of probable GI origin. Acute bloody diarrhea.

Patient Data

Age: 65
Gender: Female

Diffuse nodular thickening of the colon with fat stranding, compatible with an 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 Clostridium difficile.

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Case information

rID: 20366
Published: 15th Nov 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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