Fulminant Clostridium difficile colitis isolated to the ascending colon by a diverting transverse loop colostomy.

摘要

To the Editor: Clostridium difficile is the most commonly identified microbial agent in nosocomial diarrhea.1 Like many hospitals, the incidence at our hospital is increasing in epidemic numbers. Surgical consult is frequently delayed until medical management has failed or the patient has an acute abdomen. The standard of care for fulminant colitis remains total colectomy and end ileostomy. We describe a patient whose previous diverting colostomy limited the extent of her fulminant colitis allowing for a segmental colectomy.