Document Type

Article

Publication Date

3-28-2017

Comments

This article has been peer reviewed. It is the author’s final published version in Annals of Gastroenterology

Volume 30, Issue 4, March 2017, Pages 468-470..

The published version is available at DOI: 10.20524/aog.2017.0140. Copyright © Hellenic Society of Gastroenterology

Abstract

Clostridium septicum (C. septicum) aortitis is a rare condition frequently associated with colon adenocarcinoma and carries a poor prognosis. We report the case of a 66-year-old man who presented with abdominal pain, blood in the stool, fever and chills. Laboratory tests were significant for leukocytosis and microcytic anemia. Abdominal imaging revealed a right colon mass and aortitis. Colonoscopy confirmed the right colon mass and also discovered a rectal mass, both adenocarcinomas. Treatment consisted of antibiotics, aortic repair, right hemi-colectomy and later trans-anal excision of the rectal mass. Blood cultures and the aortic specimen grew C. septicum. The patient improved and was doing well in follow up.

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