A 68-year-old man is an inpatient on the stroke unit. He recently commenced a second course of intravenous antibiotics for aspiration pneumonia. He initially improved clinically, and the consolidation on his chest X-rays was clearing up. Then he spiked a temperature and complained of abdominal pain. His nurse reports that he has opened his bowels eight times in a short period, passing large volumes of greenish, liquid stool each time. Examination The patient’s abdomen is generally tender throughout and bowel sounds are hyperactive. The abdomen appears distended.
He is febrile (38.0°C), tachycardic (110/min) and hypotensive (88/44 mmHg). An abdominal X-ray is performed. What could be the possible reason for sudden diarrhea? What can you diagnose from X-ray? What will be the following medical management? *This image based case is from Docplexus Editorial Team for educative purpose only.…
