Abstract:
:We report on the case of a segmentally emphasised, ulcerous chronic haemorrhagic colitis with the development of granulation tissue und scarred fibrosis with consecutive resulting stenosis of the colon. A 49-year-old male patient was infected with enterohaemorrhagic Escherichia coli bacteria during the EHEC-epidemic in northern Germany in early summer 2011. In the course of the infection the patient suffered from haemolytic uraemic syndrome (HUS) with acute renal failure and neurological symptoms. Haemodialysis and plasmapheresis had become mandatory. A simultaneous ileus was estimated to be of paralytic origin. One month after treatment of the acute phase of the infection a CT scan of the abdomen was performed and discovered a symptomatic stenosis of the proximal colon transversum. This obstruction needed to be treated by performing a right hemicolectomy with an ileo-transverso anastomosis. After surgery the patient recovered continuously. The histopathological examination verified an ulcerous-chronic haemorrhagic colitis on the background of an EHEC infection.
journal_name
Z Gastroenteroljournal_title
Zeitschrift fur Gastroenterologieauthors
Lipp MJ,Schirmer J,Feyerabend B,Stavrou GA,Cordruwisch W,Faiss S,Oldhafer KJdoi
10.1055/s-0031-1299059subject
Has Abstractpub_date
2012-05-01 00:00:00pages
453-6issue
5eissn
0044-2771issn
1439-7803journal_volume
50pub_type
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