Fulminant Clostridium difficile Enteritis Causing Abdominal Compartment Syndrome
Autor: | Alfredo D. Guerron, Kalman P. Bencsath, Xiuli Liu, Hue Thai, Michele M. Loor |
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Rok vydání: | 2014 |
Předmět: |
Male
Microbiology (medical) medicine.medical_specialty Abdominal compartment syndrome medicine.medical_treatment Fulminant Hernia Inguinal Gastroenterology Inflammatory bowel disease Enteritis Abdominal decompression Internal medicine medicine Humans Hernia Herniorrhaphy Colectomy Clostridioides difficile business.industry Middle Aged Clostridium difficile medicine.disease digestive system diseases Surgery Infectious Diseases Clostridium Infections Intra-Abdominal Hypertension business |
Zdroj: | Surgical Infections. 15:821-825 |
ISSN: | 1557-8674 1096-2964 |
DOI: | 10.1089/sur.2013.026 |
Popis: | Introduction: Clostridium difficile infection of the small bowel, or C. difficile enteritis (CDE), is an uncommon condition. Cases reported previously have been described in patients with inflammatory bowel disease (IBD), compromised immune systems, or a history of colectomy or small bowel surgery. Case Description: We present a case of fulminant CDE causing abdominal compartment syndrome following a routine outpatient inguinal hernia repair. This patient developed multiple organ failure dysfunction syndrome requiring surgical abdominal decompression and a small bowel resection. This case highlights the challenges in the diagnosis of CDE, particularly in patients with intact colons and unusual presentations. Discussion: A high index of suspicion is required, as early recognition of CDE is essential in reducing morbidity and mortality. This case report is followed by a review of the current literature on CDE, with a focus on the complexities inherent in the identification of this problem and the d... |
Databáze: | OpenAIRE |
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