Tsironi Effie, Irving Peter M, Feakins Roger M, Rampton David S
Department of Gastroenterology, Barts and The London NHS Trust, London, E1 1BB, United Kingdom.
Dis Colon Rectum. 2006 Jul;49(7):1074-7. doi: 10.1007/s10350-006-0577-3.
Recurrent ulcerative colitis and/or diversion colitis occur commonly in the rectal remnant after colectomy for ulcerative colitis. We report a case in which such a patient's symptoms of rectal discharge were initially thought to be the result of one or both of these diagnoses, on both clinical and histologic grounds. However, examination of the discharge revealed Clostridium difficile infection. Treatment with metronidazole suppositories improved his symptoms and avoided further inappropriate intervention.
复发性溃疡性结肠炎和/或改道性结肠炎常见于溃疡性结肠炎患者结肠切除术后的直肠残端。我们报告一例，该患者最初因临床和组织学原因，其直肠排出物症状被认为是由上述一种或两种诊断所致。然而，对排出物的检查发现了艰难梭菌感染。甲硝唑栓剂治疗改善了他的症状，避免了进一步的不恰当干预。
