Presentation
On oral antibiotics. Unwell with abominal pain, diarrhea and bleeding. Not getting better.
Patient Data
Age: 40 years
Gender: Female
From the case:
Pseudomembranous colitis - toxic megacolon
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Gross edema of the left hemicolonic wall with marked proximal colonic distension. Note surrounding inflammation with signs of low serum albumin including marked subcutaneous edema on CT. There are multiple enlarged mesenteric lymph nodes. Patient is unwell with poor nutrition and colonic dilatation = toxic megacolon. Clostridium difficile cultured in feces.
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One week prior had less marked edema of left hemicolonic wall, no proximal colonic dilatation, and no signs of poor nutrition including subcutaneous edema.