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Pseudomembranous colitis

Case contributed by David Cuete
Diagnosis probable

Presentation

Hospitalized and following antibiotic therapy for pneumonia. Now has increasing abdominal pain and progressive watery diarrhea.

Patient Data

Age: 60 years
Gender: Male

CT Abdomen and pelvis

ct

Grossly thickened colon wall and low-attenuation edematous submucosa with pericolonic stranding. All colonic segments are affected indicating this is a pancolitis.

The central loop of bowel just superior to the urinary bladder demonstrates the accordion sign.

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