Gastroenterology Research and Practice

Case Report

Fulminant Clostridium difficile Enteritis after Proctocolectomy and Ileal Pouch-Anal Anastamosis

Table 1

Previously reported cases of small bowel C. difficile.
AuthorAgeIBDIntestinal operationRecent hospitalization/operationRecent AbxICU/SepsisOREndoscopyTreatmentDeathNotes
1 LaMont and Trnka [4] 1980 23Crohn'sPartial colectomyNoNoNoNoEGD—pseudomembranes in duodenumVancomycinNo
2 Shortland et al. [5] 1983 70NoIleal conduitYesYes—NoSigmoidoscopy—pseudomembranesVancomycinYes
3 Testore et al. [6] 1984 69NoAPRYesYesYesNo——Yes
4 Miller et al. [7] 1989 18No—YesYesYesYesFlexible sigmoidoscopy—inflammation; no pseudomembranesStreptomycinNo2 jejunal perforations
5 Kuntz et al. [8] 1993 53UCTACYesYesYesYes—Vancomycin, flagylYesIntramural gas on CT
6 Tsutaoka et al. [9] 1994 66NoRt hemicolectomy + APRYesYesYesYes—Vancomycin, flagylYes
7 Yee et al. [10] 1996 71NoTACYesYesYesYes—FlagylYes
8 Kralovich et al. [11] 1997 65NoJejunal-ileal bypassYesYesYesYesFlexible sigmoidoscopy—pseudomembranesVancomycin, flagylYes
9 Vesoulis et al. [12] 2000 56Crohn'sTPCYesYesYesYes—FlagylNo
10 Freiler et al. [13] 2001 26UCTACYesYesNoNo—FlagylNo
11 Jacobs et al. [14] 2001 83——YesYes—Yes——No
12 Tjandra et al. [15] 2001 60NoSigmoid colectomyYesYesYesYesFlexible sigmoidoscopy—pseudomembranesVancomycin, flagylYes
13 Mann et al. [16] 2003 35UCIPAANoNoNoNoFlexible endoscopy—inflammed, ulcerated mucosaVancomycin; resistant to flagylNoChronic pouchitis
14 Hayetian et al. [17] 2006 80NoLARYesYesYesYes—FlagylYesIleal perforation
15 Hayetian et al. [17] 2006 83NoNoneYesYesYesYes—Vancomycin, flagylNoIleal perforation
16 Kim et al. [18] 2007 65Crohn'sTPCYesYesYesNo—FlagylYes
17 Lundeen et al. [3] (6 patients) 2007 Mean 35.3UC (6 patients)3 IPAA3 TAC6/66/61/61/6—Vancomycin, flagylNo
18 Wood et al. [19] 2008 48UCIPAAYesYesYesYesFlexible endoscopy—normal pouchFlagylNo
19 Follmar et al. [20] 2008 49UCIPAAYesYesNoYes—Vancomycin, resistant to flagylNoOr–mesh removal
20 Fleming et al. [21] 2008 54UCTACYesYes?No—Flagyl, vancomycin, rifampinNo
21 Yafi et al. [22] 2008 21UCTACYesYes?Yes—VancomycinNoPelvic abscess
Total 50.3 16/26 23/26 24/26 24/26 13/26 14/26 7/26 21/26 9/26