Abstract
We report a rare case of phlegmonous colitis. A 69-year-old woman was admitted to a clinic owing to complaints of diarrhea. Rebound tenderness was present in her right lower abdomen. Following the diagnosis of acute abdomen, the patient was transferred to our hospital. She had received hemodialysis for diabetic nephropathy for 17 years. Non-contrast computed tomograms showed intramuscular gas formation in the cecum, and operative findings revealed complete necrosis of the cecum with an extremely thin wall. Histological examination showed abscess formation in the submucosal layer, and massive bacterial flora were scattered in this layer. She was diagnosed phelegmonous colitis. The patient developed severe postoperative complications. However, she was discharged after intensive care treatment, on the 112th postoperative day.
