Pseudomembranous Colitis (Clostridium Difficile)



Pseudomembranous Colitis (Clostridium Difficile)


R. Brooke Jeffrey, MD









(Left) Graphic demonstrates pancolitis with marked mural thickening and multiple, elevated, yellow-white plaques (or pseudomembranes). (Right) Axial CECT in a 62-year-old man who presented with diarrhea and dehydration demonstrates a classic case of pseudomembranous colitis. Note the severe bowel wall thickening throughout the entire colon image. Pseudomembranous colitis typically presents as a pancolitis, as in this example.






(Left) Axial CECT in a 47-year-old man who had been taking antibiotics for 2 weeks for sinusitis, now presents with a 2-day history of RLQ pain, fever, and concern for appendicitis. Note the marked submucosal edema of the right colon image and the intense mucosal enhancement image (or “accordion” sign). (Right) Endoscopic photograph of the right colon in the same patient reveals the classic hyperemic mucosa and yellow plaques image characteristic of pseudomembranous colitis.

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Sep 22, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on Pseudomembranous Colitis (Clostridium Difficile)
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