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Pseudomembranous Colitis

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Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Pseudomembranous Colitis

History: 78yo male presents to ED with a three week history of persistent diarrhea and new onset of diffuse abdominal pain and distension. The patient was seen one month ago by his primary care provider and treated for sinusitis.

Findings: Limited plain film of the upright abdomen shows thickened haustra of the transverse colon. Selected axial, oral and IV contrast enhanced, images show substantially thickened colonic bowel wall with preservation of, but thickened, haustra, comprising the entire colon. Small bowel is not affected. Mild pericolonic fat stranding is present.

Ddx: Inflammatory Bowel disease Infectious colitis (C. difficile, Yersinia, Shigella, CMV) Ischemia Lymphoma

Dxhow: Toxin cultures for C. Difficile.

Exam: Diffuse abdominal tenderness, distention. Non-acute abdomen with no rebound. TEMP: 99.1F WBC: 10.1 Chloride high at 115 Potassium low at 3.5

No MeSH data available.


Selected axial, oral & IV contrast enhanced, images through the mid abdomen.
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MPX1150_synpic22498: Selected axial, oral & IV contrast enhanced, images through the mid abdomen.


Pseudomembranous Colitis

Bass ECB - MedPix

Selected axial, oral & IV contrast enhanced, images through the mid abdomen.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1150&req=5

MPX1150_synpic22498: Selected axial, oral & IV contrast enhanced, images through the mid abdomen.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Pseudomembranous Colitis

History: 78yo male presents to ED with a three week history of persistent diarrhea and new onset of diffuse abdominal pain and distension. The patient was seen one month ago by his primary care provider and treated for sinusitis.

Findings: Limited plain film of the upright abdomen shows thickened haustra of the transverse colon. Selected axial, oral and IV contrast enhanced, images show substantially thickened colonic bowel wall with preservation of, but thickened, haustra, comprising the entire colon. Small bowel is not affected. Mild pericolonic fat stranding is present.

Ddx: Inflammatory Bowel disease Infectious colitis (C. difficile, Yersinia, Shigella, CMV) Ischemia Lymphoma

Dxhow: Toxin cultures for C. Difficile.

Exam: Diffuse abdominal tenderness, distention. Non-acute abdomen with no rebound. TEMP: 99.1F WBC: 10.1 Chloride high at 115 Potassium low at 3.5

No MeSH data available.