1986 Volume 28 Issue 6 Pages 1330-1334_1
We report a case of pseudomembranous colitis (PMC) localized in the transverse colon. This 53-year-old female patient visited a OB-GYN clinic in November 1983 because of vaginitis and endometritis. Slle was placed on oral Amoxicillin lg/day from November 11 to 17, followed by oral Bacampicillin lg/day from November 18 untill the morning of December 1. She experienced diarrhea, melena, vomiting, lower abdominal pain and tenesmus in the afternoon of December 1 and was admitted to our hospital on the same day. The colonofiberscopic examination (CF) on December 5 disclosed severe yellowish white, hemispheric pseudomembrane formation localized in the transverse colon, which was consistent with PMC. Anaerobic cultures of the feces on December 2, 7 and 8 were all negative. The hospital course was uneventful with much improvement on December 6 without specific treatment. The barium enema examination on December 8 showed poor dilatation of the transverse colon and small elevated areas near the hepatic flexure. CF on December 19 was normal. To our knowledge, there have been no reports of PMC localized in the transverse colon.
