Nodular colitis: endoscopic image an unusual finding
Loza Vargas, L.A.; Núñez Rodríguez, H.; Benito Sanz, M.; Zamora Martínez, T.ás.; Díez Redondo, P.; Pérez Miranda, M.
Revista Espanola de Enfermedades Digestivas Organo Oficial de la Sociedad Espanola de Patologia Digestiva 108(10): 659
2016
ISSN/ISBN: 1130-0108 PMID: 27701886 Document Number: 686109
An 82-year-old male with a history of high blood pressure, COPD, chronic myeloid leukemia, and stage-4 chronic renal failure. Admitted to hospital for lower-limb cellulitis and severe COPD exacerbation, he received antibiotic therapy and bronchodilators. During his hospital stay he developed severe anemia and had an hematochezia event with no diarrhea. A complete colonoscopy found small (4-7 mm) nacreous elevated lesions, circumferential in shape, in the cecum and ascending colon with some bleeding stigmata and submucosal bleeding suggestive of infectious colitis; stool culture was negative and Clostridium difficile toxins were positive. The condition was histologically confirmed.