![]() Findings in both studies were compatible with pseudomembranous-colitis and the diagnosis of toxic mega-colon was established. ![]() A flexible sigmoidoscopy with low pressure was performed ( Figure 2). A new abdominal CT showed a dilated colon (> 6cm) with air liquid levels in the ascending colon without signs of perforation ( Figure 1). During the first 24 hours of hospitalization her abdominal girth and pain increased, her mental status deteriorated and eventually she developed signs of septic shock. The patient was hospitalized for rehydration and levofloxacine and metronidazole were administered intravenously. Both Clostridium difficile toxin A and B tests were negative. A tomography showed minimal mesenteric stranding and pericecal lymphadenopathy without colonic dilation. gastrointestinal infection led to determination of Clostridium difficile toxin and an abdominal CT scan. Presumptive diagnosis of antibiotic-related diarrhea vs. Upon physical examination there were signs of mild dehydration and her abdomen was distended and tender on palpation in the left lower quadrant without rebound tenderness. A week earlier she had had an upper respiratory tract infection and was treated with oral antibiotics (amoxicillin/clavulanate). See moreĪ 63-year-old woman arrived at the Emergency Room complaining of abdominal pain, bloating and diarrhea over three days. The journal accepts original articles, scientific letters, review articles, clinical guidelines, consensuses, editorials, letters to the Editors, brief communications, and clinical images in Gastroenterology in Spanish and English for their publication. The scientific works include the areas of Clinical, Endoscopic, Surgical, and Pediatric Gastroenterology, along with related disciplines. The principal aim of the journal is to publish original work in the broad field of Gastroenterology, as well as to provide information on the specialty and related areas that is up-to-date and relevant. Its pages are open to the members of the Association, as well as to all members of the medical community interested in using this forum to publish their articles in accordance with the journal editorial policies. The Revista de Gastroenterología de México (Mexican Journal of Gastroenterology) is the official publication of the Asociación Mexicana de Gastroenterología (Mexican Association of Gastroenterology).
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