Admitted with chest sepsis and Clostridioides difficile associated diarrhea. Good clinical response with appropriate antibiotics. New abdominal pain worsening over 24 hours with raised inflammatory markers (WCC 28, CRP 240, lactate 4.5). Generally tender with guarding in left iliac fossa. Dark fluid stool on PR examination. ?colitis ?perforation

Patient Data

Age: 85 years
Gender: Female