Authors
Solovyov I.A.1, Pershko A.M.2, Vasilchenko M.V.2, Gravshina E.N.2, Kazimagomedov K.N.2, Lychev A.B.2, Grebenkov V.G.2
1 Mariinsky Hospital, St. Petersburg
2 S.M. Kirov Military medical academy, St. Petersburg
Abstract
Currently, antibiotic therapy is of leading importance in the prevention of complications after operations on the abdominal organs. With prolonged use, antibiotic-associated diarrhea may develop, which in 80–90% is idiopathic in nature and independently passes after the withdrawal of antibiotics. 10–20% of patients develop pseudomembranous colitis caused by C. difficile and present a serious problem for the health of patients, up to a fatal outcome 13–38%. The article presents a case of successful treatment of pseudomembranous colitis in a 70-year-old patient after laparoscopic abdominal-anal rectal resection, performed for cancer of the lower and middle ampullary rectum рT3N0M0G1.
Keywords: rectal cancer, pseudomembranous colitis, antibiotic-associated diarrhea, abdominal-anal resection of the rectum.
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