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Colonic Abnormalities on CT in Adult Hospitalized Patients with Clostridium difficile Colitis: Prevalence and Significance of Findings

Lorraine Ash1, Mark E. Baker1, Charles M. O'Malley, Jr.1, Steven M. Gordon2, Conor P. Delaney3 and Nancy A. Obuchowski4

1 Division of Radiology/Hb 6, The Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195.
2 Department of Infectious Disease, The Cleveland Clinic Foundation, Cleveland, OH 44195.
3 Department of Colorectal Surgery, The Cleveland Clinic Foundation, Cleveland, OH 44195.
4 Department of Biostatistics and Epidemiology, The Cleveland Clinic Foundation, Cleveland, OH 44195.


Figure 1
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  		Fig. 1 —35-year-old Clostridium difficile-positive man with negative CT. CT through mid abdomen shows normal colon wall.

 

Figure 2
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  		Fig. 2 —65-year-old Clostridium difficile-positive woman with positive CT. CT through mid abdomen shows diffusely thickened colonic wall with target sign (white arrow).

 

Figure 3
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  		Fig. 3 —53-year-old Clostridium difficile-positive woman with isolated left colonic involvement. CT through midabdomen shows markedly thick-walled descending colon with sparing of right colon.

 

Figure 4
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  		Fig. 4 —59-year-old Clostridium difficile-positive man with isolated right colonic involvement. CT through midabdomen shows markedly thick-walled right colon with sparing of left colon. There is also nodular fold thickening in cecum (white arrow).

 

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