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Pseudomembranous Colitis Imaging

Pseudomembranous Colitis Imaging

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Pseudomembranous colitis (PMC) is a descriptive term for colitides defined by the presence of pseudomembranes on the colonic or small intestinal mucosa. [1] Although small intestine can be involved in PMC, most cases encountered in the modern era involve only the colon. Clostridium difficile infection is responsible for virtually all cases of PMC and for as many as 20% of cases of antibiotic-induced diarrhea without colitis. [2] See the images of pseudomembranous colitis below.

The etiology of antibiotic-associated diarrhea and colitis not caused by C difficile is poorly understood, and a variety of other organisms have been implicated as causative agents, including Staphylococcus aureus, Candida species ,Clostridium perfringens, and salmonellosis. [3]

Pseudomembranous lesions in the intestinal tract, originally reported in 1893, were thought to be caused by S aureus on the basis of its recovery in the stool samples of affected patients. With time, S enterocolitis (involving both small intestine and colon) became an accepted entity. Widespread antibiotic use made PMC a common problem, and it became apparent that the disease primarily involved the colon and only rarely involved the small intestine. In 1977, C difficile was recognized as the pathogen responsible for the development of PMC.

The risk factors for PMC in patients with hospital-acquired diarrhea (HAD) may include cephalosporin use, proton pump inhibitor use, old age (≥70 yr), and cancer. The prevalence of PMC may be very low in patients with HAD without such risk factors. [4]

Infection with toxigenic C difficile causes a spectrum of diseases ranging from the asymptomatic carrier state, particularly in neonates, to a fulminant relapsing and occasionally fatal colitis. [3] The typical clinical presentation is diarrhea, abdominal pain, fever, leukocytosis, and an often-overlooked history of recent/concurrent use of antibiotics. Hospital inpatients may be asymptomatic or may only have mild-to-moderate symptoms. [5] In severe cases, life-threatening colitis may develop, progressing to toxic megacolon and subsequent perforation.

In rare cases, extraintestinal manifestations occur, including bacteremia, osteomyelitis, and splenic abscess. Other clinical manifestations that have been described are reactive arthritis and tenosynovitis. As with other reactive arthritides following enteric infections, many patients are positive for human leukocyte antigen (HLA)-B27. [3] Nonspecific symptomatology of PMC mimics features of acute abdomen, especially sepsis or intra-abdominal infection and abscess.

Most of these patients undergo ultrasonographic or computed tomography (CT) scans without clinical suspicion of PMC. [1] Thus, it is important for radiologists to recognize the radiologic features of PMC, since the radiologist is often the first physician to suggest the diagnosis.

It is important to note that even though the diagnosis of PMC may be suggested by imaging, it is not the method of choice for establishing the diagnosis. This is done by stool assays for C difficile toxins or colonoscopy.

Valiquette et al, in a study of abdominal CT in patients with the BI/NAP1/027 hypervirulent strain of C difficile, found that CT could provide prognostic information additional to what could be obtained by clinical and laboratory parameters. They also found that patients who underwent CT were younger, had higher peak white blood cell counts and serum creatinine levels, and were more likely to experience fever than those who did not undergo CT. However, there were no differences in CT findings before and after emergence of BI/NAP1/027. The authors noted that pleural effusion, colonic wall thickness greater than 15 mm, a peak white blood cell count of 30 x 109 cells or greater/L, an albumin level less than 20 g/L, and immunosuppression were independently associated with complicated C difficile infection. [6]

In patients with C difficile colitis on broad-spectrum antibiotic therapy, CT findings of colonic wall thickening (0.5 -1.6 cm), a mild degree of pericolonic fat stranding, and the accordion sign may be detected. In one study of 15 patients, 11 (73.3%) had pancolonic wall thickening, 4 (26.6%) had segmental involvement, and 11 (73.3%) displayed the accordion sign. [7]

Plain films of the abdomen are notoriously insensitive for the diagnosis of PMC; plain radiographic abnormalities are observed in perhaps only 32% of cases of the disease. [8] Even when radiographs demonstrate abnormalities, they tend to underestimate the extent and severity of PMC, with findings on plain films ranging from normal to nonspecific. [5] However, because these films are often the first studies to be ordered, it is important to be aware of these findings. Classic findings consist of the following:

Colonic dilatation

Nodular haustral thickening

Thumb printing

Findings range from colonic ileus to toxic megacolon and even perforation with pneumoperitoneum. Toxic megacolon is suggested by acute dilatation of transverse colon to a diameter greater than 6 cm associated with systemic toxicity and the absence of mechanical obstruction.

This is considered to be fairly specific for PMC but is observed only in severe cases. [1] Any part of the colon may be involved. In a study by Boland et al, the transverse colon was most commonly involved, followed by the left colon and then the right colon. [8] See the image below.

This is nonspecific, since it can be observed with either inflammatory or ischemic colitis.

Contrast enemas should be avoided in patients with possible PMC because of potential risk for perforation. Barium enemas are rarely indicated, especially with the advent of cross-sectional imaging.

Barium enema findings may vary, depending on the severity of the disease. In the milder forms, nodular filling defects involving the mucosa may be observed that coalesce as the disease progresses, giving an irregular appearance to the bowel wall. The serrated outline of the colon does not result from mucosal ulceration but, rather, is a consequence of trapped barium between the plaquelike membranes. See the image below.

With increased use of CT scanning as a primary imaging modality in the evaluation of patients with diffuse abdominal pain or fever, it is critical for radiologists to recognize CT scan features of PMC. CT scan findings, although not specific, may be highly suggestive of PMC, and CT scanning is excellent for evaluation of the extent of PMC. [1, 9, 7, 10]

The following are CT scan findings in PMC:

Marked colonic wall thickening

Target sign

Accordion sign

Pericolonic stranding

Ascites

Colonic wall thickening is the most common CT finding in patients with PMC and ranges from 3-32 mm. [5] Most cases reveal total colonic involvement; however, focal and segmental involvement has been well documented. Mural thickening can be smooth or irregular and eccentric or concentric. PMC more often causes irregular and shaggy wall thickening rather than the smooth and homogeneous thickening observed with Crohn disease. See the image below.

On contrast-enhanced CT, mucosal hyperemia leads to enhancement with relatively hypodense submucosa secondary to edematous changes. This gives the appearance of a bull’s eye or target sign. The sign is better appreciated on the arterial phase of enhancement. It is a nonspecific sign and has been reported with other forms of colitis such as Crohn disease and ulcerative colitis.

This is highly suggestive of PMC but is only observed in advanced disease. The cause of this sign is entrapment of orally administered barium in between thick and edematous haustral folds, giving alternating low- and high-density bands. See the image below.

If observed, this is usually mild, reflecting mucosal, rather than serosal, involvement. The typical CT appearance of PMC is mild pericolonic stranding disproportionate to marked colonic wall thickening.

This is a nonspecific finding and tends to occur in severe cases of PMC. Ascites is observed on CT in an average of 35% of patients. [1]

Pneumatosis, toxic megacolon, and portal venous gas may be observed. These features are nonspecific and may be observed with severe colitis of any cause.

The sensitivity of detection of PMC on CT is approximately 85%. Specificity of CT is low (approximately 48%), since other types of colitis can cause a similar appearance. [11]

Ultrasonography is not commonly used for evaluation of possible PMC; however, it may be helpful in evaluation of postoperative patients in surgical intensive care units who are on antibiotics and develop nonspecific abdominal symptoms. [1]

Ultrasonographic findings rely on wall thickening of the colon, as well as on the target sign, demonstrated by hyperechoic mucosa in the background of hypoechoic edematous submucosa. Ascites may be an associated finding and has been observed in as many as 77% of cases. [12]

Thickened colon may be discovered incidentally during ultrasonographic examination of the abdomen.

Ros PR, Buetow PC, Pantograg-Brown L, et al. Pseudomembranous colitis. Radiology. 1996 Jan. 198(1):1-9. [Medline].

Kelly CP, Pothoulakis C, LaMont JT. Clostridium difficile colitis. N Engl J Med. 1994 Jan 27. 330(4):257-62. [Medline].

Thielman NM. Pseudomembranous colitis. In: Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 5th ed. 2000:1111-1126.

Yang BK, Do BJ, Kim EJ, Lee JU, Kim MH, Kang JG, et al. The simple predictors of pseudomembranous colitis in patients with hospital-acquired diarrhea: a prospective observational study. Gut Liver. 2014 Jan. 8(1):41-8. [Medline]. [Full Text].

Kawamoto S, Horton KM, Fishman EK. Pseudomembranous colitis: spectrum of imaging findings with clinical and pathologic correlation. Radiographics. 1999 Jul-Aug. 19(4):887-97. [Medline].

Valiquette L, Pépin J, Do XV, Nault V, Beaulieu AA, Bédard J, et al. Prediction of complicated Clostridium difficile infection by pleural effusion and increased wall thickness on computed tomography. Clin Infect Dis. 2009 Aug 15. 49(4):554-60. [Medline].

Srisajjakul S, Prapaisilp P, Kijsawat N. Multidetector computed tomography features of positive endoscopic or toxin assay Clostridium difficile colitis. J Med Assoc Thai. 2013 Apr. 96(4):477-84. [Medline].

Boland GW, Lee MJ, Cats A, Mueller PR. Pseudomembranous colitis: diagnostic sensitivity of the abdominal plain radiograph. Clin Radiol. 1994 Jul. 49(7):473-5. [Medline].

Bhattacharya A, Kochhar R, Khaliq A, Sharma S, Mittal BR. Incidental detection of colonic inflammation on PET/CT using 18F-FDG-labeled autologous leukocytes. Clin Nucl Med. 2013 Feb. 38(2):e101-2. [Medline].

Lim J, Phillips AW, Thomson WL. An unexpected CT finding in a patient with abdominal pain. BMJ Case Rep. 2013 Jan 22. 2013:[Medline]. [Full Text].

Boland GW, Lee MJ, Cats AM, et al. Antibiotic-induced diarrhea: specificity of abdominal CT for the diagnosis of Clostridium difficile disease. Radiology. 1994 Apr. 191(1):103-6. [Medline].

Downey DB, Wilson SR. Pseudomembranous colitis: sonographic features. Radiology. 1991 Jul. 180(1):61-4. [Medline].

Vinay K Gheyi, MD, MBBS Radiologist, Christiana Care Health System

Vinay K Gheyi, MD, MBBS is a member of the following medical societies: Radiological Society of North America

Disclosure: Nothing to disclose.

John S Wills, MD Associate Professor of Radiology, Thomas Jefferson University; Chair, Department of Radiology, Pennsylvania Hospital

John S Wills, MD is a member of the following medical societies: American College of Radiology, American Medical Association, Medical Society of Delaware, Radiological Society of North America

Disclosure: Nothing to disclose.

Raul N Uppot, MD Assistant Professor of Radiology, Harvard Medical School; Director, Abdominal Imaging Fellowship, Assistant Interventional Radiologist, Department of Radiology, Section of Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital

Raul N Uppot, MD is a member of the following medical societies: Radiological Society of North America

Disclosure: Nothing to disclose.

Bernard D Coombs, MB, ChB, PhD Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand

Disclosure: Nothing to disclose.

Spencer B Gay, MD Professor of Radiology, Department of Radiology and Medical Imaging, University of Virginia School of Medicine

Disclosure: Nothing to disclose.

Eugene C Lin, MD Attending Radiologist, Teaching Coordinator for Cardiac Imaging, Radiology Residency Program, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine

Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, Society of Nuclear Medicine and Molecular Imaging

Disclosure: Nothing to disclose.

John L Haddad, MD Clinical Associate Professor, Department of Radiology, Weill Medical College of Cornell University; Director of Body MRI, Department of Radiology, Methodist Hospital in Houston

John L Haddad, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and Radiological Society of North America

Disclosure: Nothing to disclose.

Pseudomembranous Colitis Imaging

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