Open AccessLocalized pseudomembranous colitis in the cecum and ascending colon mimicking acute appendicitis
Author(s) -
Ju Won Chyung,
Dong Gue Shin
Publication year - 2013
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v5.i5.156
Subject(s) - ascending colon , medicine , cecum , pseudomembranous colitis , colonoscopy , surgery , metronidazole , diarrhea , abdominal pain , appendicitis , gastroenterology , descending colon , appendix , rectum , antibiotics , clostridium difficile , paleontology , microbiology and biotechnology , biology , colorectal cancer , cancer
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.