Localized pseudomembranous colitis in the cecum and ascending colon mimicking acute appendicitis  

作　　者：Ju Won Chyung Dong Gue Shin 

机构地区：[1]Department of Surgery,Seoul Medical Center

出　　处：《World Journal of Gastrointestinal Surgery》2013年第5期156-160,共5页世界胃肠外科杂志（英文版）（电子版）

摘　　要：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.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.

关 键 词：ENTEROCOLITIS PSEUDOMEMBRANOUS APPENDICITIS ABDOMEN Acute Diarrhea CEFIXIME 

分 类 号：R574[医药卫生—消化系统]