Clostridium difficile infection after ileostomy reversal

Ho Seung Kim, Jae Hyun Kang, Han Gil Kim, Young Hun Kim, Hyeonwoo Bae, Nam Kyu Kim

Research output: Contribution to journalArticlepeer-review


Clostridium difficile infection (CDI) after ileostomy reversal is rare, with few reports available in the available literature describing this condition. The diagnosis of CDI after ileostomy reversal is challenging because symptoms such as diarrhea observed in these patients can occur frequently after surgery. However, CDI can be fatal, so early diagnosis and prompt treatment are important. We discuss 2 patients with positive C. difficile toxin assay results on stool cultures performed after ileostomy reversal. Clinical progression differed between these patients: one patient who presented with severe CDI and shock was successfully treated following a prolonged intensive care unit stay for the management of vital signs and underwent hemodialysis, while another patient showed symptoms of mild colitis but we could not confirm whether diarrhea was associated with CDI or with the usual postoperative state. To our knowledge, these represent 2 of just a few cases reported in the literature describing CDI after ileostomy reversal.

Original languageEnglish
Pages (from-to)S4-S6
JournalAnnals of Coloproctology
Publication statusPublished - 2021

Bibliographical note

Publisher Copyright:
© 2021 The Korean Society of Coloproctology

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology


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