What are the common findings of CT scanning in Clostridium difficile (C diff) colitis?

Updated: Jul 25, 2019
  • Author: Faten N Aberra, MD, MSCE; Chief Editor: BS Anand, MD  more...
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Answer

Marked colonic wall thickening is the most common finding (see the following images). Other features may include ascites, irregularity of the bowel wall, and pericolonic stranding. In patients with sepsis due to suspected megacolon, abdominal radiography may be performed instead of CT scanning to establish the presence of megacolon in a timely manner.

Clostridioides (Clostridium) difficile colitis. Ax Clostridioides (Clostridium) difficile colitis. Axial computed tomography scan of pseudomembranous colitis.
Clostridioides (Clostridium) difficile colitis. Co Clostridioides (Clostridium) difficile colitis. Computed tomography scan of pseudomembranous colitis.

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