Table of Contents Author Guidelines Submit a Manuscript
Gastroenterology Research and Practice
Volume 2008 (2008), Article ID 985658, 5 pages
http://dx.doi.org/10.1155/2008/985658
Case Report

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

Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center Omaha, NE 68198-3280, USA

Received 26 October 2008; Accepted 6 December 2008

Academic Editor: Paolo Gionchetti

Copyright © 2008 Elena Boland and Jon S. Thompson. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. G. P. Testore, F. Nardi, S. Babudieri, M. Giuliano, R. Di Rosa, and G. Panichi, “Isolation of Clostridium difficile from human jejunum: identification of a reservoir for disease?,” Journal of Clinical Pathology, vol. 39, no. 8, pp. 861–862, 1986. View at Publisher · View at Google Scholar
  2. R. Apel, Z. Cohen, C. W. Andrews, Jr., R. McLeod, H. Steinhart, and R. D. Odze, “Prospective evaluation of early morphological changes in pelvic ileal pouches,” Gastroenterology, vol. 107, no. 2, pp. 435–443, 1994. View at Google Scholar
  3. S. J. Lundeen, M. F. Otterson, D. G. Binion, E. T. Carman, and W. J. Peppard, “Clostridium difficile enteritis: an early postoperative complication in inflammatory bowel disease patients after colectomy,” Journal of Gastrointestinal Surgery, vol. 11, no. 2, pp. 138–142, 2007. View at Publisher · View at Google Scholar · View at PubMed
  4. J. T. LaMont and Y. M. Trnka, “Therapeutic implications of Clostridium difficile toxin during relapse of chronic inflammatory bowel disease,” The Lancet, vol. 1, no. 8165, pp. 381–383, 1980. View at Publisher · View at Google Scholar
  5. J. R. Shortland, R. C. Spencer, and J. L. Williams, “Pseudomembranous colitis associated with changes in an ileal conduit,” Journal of Clinical Pathology, vol. 36, no. 10, pp. 1184–1187, 1983. View at Publisher · View at Google Scholar
  6. G. P. Testore, A. Pantosti, G. Panichi et al., “Pseudomembranous enteritis associated with Clostridium difficile,” Italian Journal of Gastroenterology, vol. 16, no. 3, pp. 229–230, 1984. View at Google Scholar
  7. D. L. Miller, J. D. Sedlack, and R. W. Holt, “Perforation complicating rifampin-associated pseudomembranous enteritis,” Archives of Surgery, vol. 124, no. 9, p. 1082, 1989. View at Google Scholar
  8. D. P. Kuntz, M. J. Shortsleeve, P. A. Kantrowitz, and G. P. Gauvin, “Clostridium difficile enteritis. A cause of intramural gas,” Digestive Diseases and Sciences, vol. 38, no. 10, pp. 1942–1944, 1993. View at Publisher · View at Google Scholar
  9. B. Tsutaoka, J. Hansen, D. Johnson, and M. Holodniy, “Antibiotic-associated pseudomembranous enteritis due to Clostridium difficile,” Clinical Infectious Diseases, vol. 18, no. 6, pp. 982–984, 1994. View at Google Scholar
  10. H. F. Yee, Jr., R. S. Brown, Jr., and J. W. Ostroff, “Fatal Clostridium difficile enteritis after total abdominal colectomy,” Journal of Clinical Gastroenterology, vol. 22, no. 1, pp. 45–47, 1996. View at Publisher · View at Google Scholar
  11. K. A. Kralovich, J. Sacksner, R. A. Karmy-Jones, and J. C. Eggenberger, “Pseudomembranous colitis with associated fulminant ileitis in the defunctionalized limb of a jejunal-ileal bypass: report of a case,” Diseases of the Colon & Rectum, vol. 40, no. 5, pp. 622–624, 1997. View at Publisher · View at Google Scholar
  12. Z. Vesoulis, G. Williams, and B. Matthews, “Pseudomembranous enteritis after proctocolectomy: report of a case,” Diseases of the Colon & Rectum, vol. 43, no. 4, pp. 551–554, 2000. View at Publisher · View at Google Scholar
  13. J. F. Freiler, S. J. Durning, and P. T. Ender, “Clostridium difficile small bowel enteritis occurring after total colectomy,” Clinical Infectious Diseases, vol. 33, no. 8, pp. 1429–1431, 2001. View at Publisher · View at Google Scholar · View at PubMed
  14. A. Jacobs, K. Barnard, R. Fishel, and J. D. Gradon, “Extracolonic manifestations of Clostridium difficile infections: presentation of 2 cases and review of the literature,” Medicine, vol. 80, no. 2, pp. 88–101, 2001. View at Publisher · View at Google Scholar
  15. J. J. Tjandra, A. Street, R. J. Thomas, R. Gibson, P. Eng, and J. Cade, “Fatal Clostridium difficile infection of the small bowel after complex colorectal surgery,” ANZ Journal of Surgery, vol. 71, no. 8, pp. 500–503, 2001. View at Publisher · View at Google Scholar
  16. S. D. Mann, J. Pitt, R. G. Springall, and A. V. Thillainayagam, “Clostridium difficile infection—an unusual cause of refractory pouchitis: report of a case,” Diseases of the Colon & Rectum, vol. 46, no. 2, pp. 267–270, 2003. View at Publisher · View at Google Scholar
  17. F. D. Hayetian, T. E. Read, M. Brozovich, R. P. Garvin, and P. F. Caushaj, “Ileal perforation secondary to Clostridium difficile enteritis: report of 2 cases,” Archives of Surgery, vol. 141, no. 1, pp. 97–99, 2006. View at Publisher · View at Google Scholar · View at PubMed
  18. K. A. Kim, P. Wry, E. Hughes, Jr., J. Butcher, and D. Barbot, “Clostridium difficile small-bowel enteritis after total proctocolectomy: a rare but fatal, easily missed diagnosis. Report of a case,” Diseases of the Colon & Rectum, vol. 50, no. 6, pp. 920–923, 2007. View at Publisher · View at Google Scholar · View at PubMed
  19. M. J. Wood, N. Hyman, J. C. Hebert, and H. Blaszyk, “Catastrophic Clostridium difficile enteritis in a pelvic pouch patient: report of a case,” Journal of Gastrointestinal Surgery, vol. 12, no. 2, pp. 350–352, 2008. View at Publisher · View at Google Scholar · View at PubMed
  20. K. E. Follmar, S. A. Condron, I. I. Turner, J. D. Nathan, and K. A. Ludwig, “Treatment of metronidazole-refractory Clostridium difficile enteritis with vancomycin,” Surgical Infections, vol. 9, no. 2, pp. 195–200, 2008. View at Publisher · View at Google Scholar · View at PubMed
  21. F. Fleming, N. Khursigara, N. O'Connell, S. Darby, and D. Waldron, “Fulminant small bowel enteritis: a rare complication of Clostridium difficile-associated disease,” to appear in Inflammatory Bowel Diseases. View at Publisher · View at Google Scholar · View at PubMed
  22. F. A. Yafi, C. R. Selvasekar, and R. R. Cima, “Clostridium difficile enteritis following total colectomy,” Techniques in Coloproctology, vol. 12, no. 1, pp. 73–74, 2008. View at Google Scholar
  23. M. Warny, J. Pepin, A. Fang et al., “Toxin production by an emerging strain of Clostridium difficile associated with outbreaks of severe disease in North America and Europe,” The Lancet, vol. 366, no. 9491, pp. 1079–1084, 2005. View at Publisher · View at Google Scholar · View at PubMed