Clostridium difficile pancolitis in adults with cystic fibrosis H.C. Barker, C.S. Haworth, D. Williams, P. Roberts, D. Bilton  Journal of Cystic Fibrosis  Volume 7, Issue 5, Pages 444-447 (September 2008) DOI: 10.1016/j.jcf.2008.02.007 Copyright © 2008 European Cystic Fibrosis Society Terms and Conditions

Fig. 1 Case 1 C. difficile pancolitis. The wall of the large bowel is grossly thickened with florid mucosal enhancement, low attenuation sub-mucosal oedema and mesenteric injection. The white arrows show the oedematous large bowel with i.v. contrast demarcating the ‘accordion sign,’ due to oedematous infolded mucosa. The white arrowhead shows air trapped between the infolded mucosa. Journal of Cystic Fibrosis 2008 7, 444-447DOI: (10.1016/j.jcf.2008.02.007) Copyright © 2008 European Cystic Fibrosis Society Terms and Conditions

Fig. 2 Case 3. Abdominal X-ray with small gas collections throughout the large bowel suggestive of faecal loading and a degree of small bowel obstruction consistent with distal intestinal obstruction syndrome. Journal of Cystic Fibrosis 2008 7, 444-447DOI: (10.1016/j.jcf.2008.02.007) Copyright © 2008 European Cystic Fibrosis Society Terms and Conditions

Fig. 3 Flexible sigmoidoscopy showing yellow adherent plaques (white arrows) typical of pseudomembranous colitis. Journal of Cystic Fibrosis 2008 7, 444-447DOI: (10.1016/j.jcf.2008.02.007) Copyright © 2008 European Cystic Fibrosis Society Terms and Conditions