Pseudomembranous colitis

Case contributed by Dr Natalie Yang


Hospitalised for pneumonia. Now increasing abdominal pain.

Patient Data

Age: 80 years
Gender: Female

The majority of the large bowel, from approximately the hepatic flexure down to the anus, is thick-walled with enhancing mucosa and minor pericolic fat stranding. The lumen is fluid-filled and only mildly distended, particularly distally. There is no free intra-abdominal fluid or gas. No mesenteric gas or portal gas. 

Incidental note is made of a prominent common bile duct and a duodenal diverticulum. 

Annotated image

Annotated images.

Case Discussion

This case is typical both in terms of presentation and in terms of imaging findings of pseudomembranous colitis. The patient made an uneventful recovery. 

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Case information

rID: 6777
Published: 17th Aug 2009
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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