Nodular colitis: endoscopic image an unusual finding

Rev Esp Enferm Dig. 2016 Oct;108(10):659-600.

Abstract

An 82-year-old male with a history of high blood pressure, COPD, chronic myeloid leukemia, and stage-4 chronic renal failure. Admitted to hospital for lower-limb cellulitis and severe COPD exacerbation, he received antibiotic therapy and bronchodilators. During his hospital stay he developed severe anemia and had an hematochezia event with no diarrhea. A complete colonoscopy found small (4-7 mm) nacreous elevated lesions, circumferential in shape, in the cecum and ascending colon with some bleeding stigmata and submucosal bleeding suggestive of infectious colitis; stool culture was negative and Clostridium difficile toxins were positive. The condition was histologically confirmed.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Clostridioides difficile
  • Colitis / diagnostic imaging*
  • Colitis / pathology
  • Colonic Neoplasms / diagnostic imaging*
  • Colonic Neoplasms / pathology
  • Colonoscopy
  • Endoscopy / methods*
  • Enterocolitis, Pseudomembranous / diagnostic imaging*
  • Enterocolitis, Pseudomembranous / pathology
  • Humans
  • Male