回盲部和升结肠局部假膜性结肠炎，类似急性阑尾炎。

Localized pseudomembranous colitis in the cecum and ascending colon mimicking acute appendicitis.

机构信息

Ju Won Chyung, Dong Gue Shin, Department of Surgery, Seoul Medical Center, Seoul 889-5, South Korea.

出版信息

World J Gastrointest Surg. 2013 May 27;5(5):156-60. doi: 10.4240/wjgs.v5.i5.156.

DOI:10.4240/wjgs.v5.i5.156

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3662872/

Abstract

A 61-year-old male was admitted to our hospital due to right lower abdominal pain and watery diarrhea for 3 d. Beginning 3 wk before he arrived in our hospital, he took 3(rd)-generation cephalosporin (cefixime) for 2 wk due to chronic left ear otitis media. Colonoscopic examination revealed yellowish patches of ulcerations and swelling covered with thick serosanguineous exudate in the cecum and ascending colon. After 7 d of oral metronidazole treatment, his symptoms completely disappeared. We report a case of localized pseudomembranous colitis in the cecum and ascending colon mimicking acute appendicitis associated with cefixime.

摘要

一位 61 岁男性因右下腹痛和水样腹泻 3 天入院。在来我院前 3 周，他因慢性左耳中耳炎服用了 3 代头孢菌素（头孢克肟）2 周。结肠镜检查发现回肠和升结肠有黄色斑块状溃疡和肿胀，表面覆盖着厚厚的血性渗出物。口服甲硝唑治疗 7 天后，他的症状完全消失。我们报告了一例与头孢克肟相关的回肠和升结肠局部假膜性结肠炎，表现为类似急性阑尾炎。

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