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Sonographic findings in patients with penicillin-induced segmental hemorrhagic colitis and antibiotic-related pseudomembranous colitis

Sonographic findings in patients with penicillin-induced segmental hemorrhagic colitis and antibiotic-related pseudomembranous colitis
Parameter Segmental hemorrhagic colitis (n=9) Pseudomembranous colitis (n=10) p
Distribution
Pancolitis 0 7/10 (70 percent) <0.01
Terminal Ileum 0 0 -
Small intestine* 0 0 -
Ascending colon 9/9 (100 percent) 7/10 (70 percent) n.s.
Transverse colon 3/9 (33 percent) 7/10 (70 percent) n.s.
Sigmoid 1/9 10/10 (100 percent) <0.001
Bowel wall thickening [mm] 8 ± 2 (6 - 12) 8 ± 2 (4 - 10) n.s.
Longitudinal bowel wall involvement [cm] 20 ± 7 (15 - 35) all >30 cm -
Asymmetric bowel wall thickening 9/9 (100 percent) 0/10 (100 percent) <0.01
Thickening of the mesentery 2/9 (22 percent) 8/10 (80 percent) <0.05
Abscess 0 0 n.s.
Fistula 0 0 (82) n.s.
Mesenteric lymphadenopathy 1/9 6/10 (60 percent) <0.05
Ascites 6/9 (66 percent) 6/10 (60 percent) n.s.
n.s.: not significant.
* Small intestine except terminal ileum.
¶ Defined as more than 2 mesenteric lymph nodes.
Data from Dietrich, CF, Lembcke, B, Seifert, H, et al. Dtsch Med Wochenschr 2000; 125:755; Dietrich, CF, Zeuzem, S, Caspary, WF, et al. Ultraschall Med 1998; 19:265; Downey, DB, Wilson, SR. Radiology 1991; 180:61.
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