PMC5425282_01
CT scan showing severely distended loops of the small bowel with air-fluid levels.
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F1
Although repeat abdominal CT demonstrated an improvement in bowel wall thickening, distended loops of small bowel, consistent with ileus, were now noted (Figure 1).
Pseudomembranes visible on flexible sigmoidoscopy.
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F2
Pseudomembranes on the sigmoid colonic wall were noted (Figure 2), and the oral vancomycin dose was increased to 500 mg orally every 6 hours.
Post-treatment improvement of bowel loop distention.
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F3
Nearly complete resolution of abdominal symptoms was noted by hospital day 16 (Figure 3).