Sultano Nicolas, Gonzalez Salazar Esteban, Poggi Catalina, Higuera Felipe, Pekolj Juan
HOSPITAL ITALIANO DE BUENOS AIRES ARGENTINA.
Rev Fac Cien Med Univ Nac Cordoba. 2023 Apr 5;80(1):43-46. doi: 10.31053/1853.0605.v80.n1.37579.
Clostridium difficile´s fulminant colitis is characterized by the development of severe acute inflammation of the colon, associated with systemic toxicity. Fulminant colitis is the most serious form of acute colitis with a mortality of up to 80%. We present the case of a 45-year-old man who presented to the emergency department with acute abdominal pain, diarrhea and fever. Computed tomography showed circumferential diffuse parietal thickening of the colon, including the rectum, associated with striation of the surrounding tissues and ganglionic formations. In the following hours the patient evolved with worsening of the general condition, increased inotropic requirements and lactic acidosis. Emergency laparotomy was decided and total colectomy was performed. Fulminant Clostridium difficile colitis is a potentially deadly disease. The lability of the pathology in many occasions forces quick decision making, therefore fulminant colitis represents a medical surgical emergency being time crucial.
艰难梭菌性暴发性结肠炎的特征是结肠出现严重急性炎症，并伴有全身毒性。暴发性结肠炎是急性结肠炎最严重的形式，死亡率高达80%。我们报告一例45岁男性病例，该患者因急性腹痛、腹泻和发热就诊于急诊科。计算机断层扫描显示结肠（包括直肠）周向弥漫性肠壁增厚，伴有周围组织条纹状改变和神经节形成。在接下来的几个小时里，患者的一般状况恶化，对血管活性药物的需求增加，并出现乳酸酸中毒。决定进行急诊剖腹手术并实施全结肠切除术。艰难梭菌性暴发性结肠炎是一种潜在的致命疾病。该病理情况的易变性在很多情况下迫使迅速做出决策，因此暴发性结肠炎是一种外科急症，时间至关重要。
