Ha Duc, Tsai Chung-Jyi
Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
BMJ Case Rep. 2012 Oct 30;2012:bcr2012006720. doi: 10.1136/bcr-2012-006720.
A 65-year-old man with long-standing diarrhoea, recurrent Clostridium difficile infection (CDI) in the previous 5 months presented to the gastroenterology clinic with recurrent diarrhoea and abdominal cramping. Physical examination was negative for signs of acute abdomen. Stool C difficile PCR was positive. Abdominal imaging demonstrated an extensive pneumatosis intestinalis involving the small bowel and a dilated small bowel loop. He was treated conservatively with oral vancomycin for recurrent CDI with resolution of diarrhoea and abdominal cramping on 1-month follow-up visit.
一名65岁男性，长期腹泻，在过去5个月中反复发生艰难梭菌感染（CDI），因再次出现腹泻和腹部绞痛就诊于胃肠病诊所。体格检查未发现急腹症体征。粪便艰难梭菌PCR检测呈阳性。腹部影像学检查显示广泛的小肠肠壁积气以及一段扩张的小肠袢。他接受了口服万古霉素治疗复发性CDI，在1个月的随访中腹泻和腹部绞痛症状消失。
