Abstract | UNLABELLED: CASE REPORT: A 52-year-old male presented with rectal bleeding and tenesmus. He had been treated for amebiasis with metronidazole, and had improved. Two weeks later, symptoms recurred, and he was referred to our hospital. A sigmoidoscopy and biopsies demonstrated mucosal ulcerative colitis. He underwent treatment with systemic prednisone, mesalamine, and hydrocortisone enemas with adequate response. He was asymptomatic for 2 months, but later presented with a tender abdomen and rectal bleeding. Plain abdominal and thorax films showed colonic distention and free intraperitoneal air. Emergency laparotomy was performed, and an inflamed and distended colon, with free inflammatory liquid in the peritoneum, was found. A total abdominal colectomy with temporary ileostomy and Hartmann' s pouch was performed. The histopathology analysis demonstrated a Clostridium difficile pseudomembranous colitis. CONCLUSION:
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Authors | S García-Osogobio, T Takahashi, A Gamboa-Domínguez, H Medina, J Arch, W Mass, J Sierra-Madero, L Uscanga |
Journal | Inflammatory bowel diseases
(Inflamm Bowel Dis)
Vol. 6
Issue 3
Pg. 188-90
(Aug 2000)
ISSN: 1078-0998 [Print] England |
PMID | 10961591
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Anti-Inflammatory Agents
- Steroids
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Topics |
- Abdominal Pain
(etiology)
- Anti-Inflammatory Agents
(therapeutic use)
- Colectomy
- Colitis, Ulcerative
(drug therapy, etiology, pathology)
- Diagnosis, Differential
- Enterocolitis, Pseudomembranous
(drug therapy, etiology, surgery)
- Gastrointestinal Hemorrhage
(etiology)
- Humans
- Ileostomy
- Male
- Middle Aged
- Steroids
- Treatment Outcome
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