PMC6425522_01
Ileus with excessive colonic dilatation.
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After hospitalization, abdominal pain, fever, leukocytosis (white blood cell (WBC) count >15,000/nL) with ileus occurred (Figure 1).
Inflamed mucosa and yellow plaque like lesions in flexible sigmoidoscopy.
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Urgent decompressive colonoscopy revealed inflamed mucosa and deep yellow plaque like lesions in sigmoid and descending colon (Figure 2).
Ileus was improved after oral and intracolonic vancomycin treatment.
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The patient's clinical symptoms improved after oral and intracolonic vancomycin treatment on the procedure day, and 3 days later soft diet was started (Figure 3).