Pseudomembranous colitis - severe

Case contributed by Dr Maxime St-Amant

Presentation

Septic shock of probable GI origin. Acute bloody diarrhea.

Patient Data

Age: 65 years
Gender: Female
CT

Abdomen

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

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Case information

rID: 20366
Published: 15th Nov 2012
Last edited: 27th Jan 2020
Inclusion in quiz mode: Included

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