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At each flexure of the colon, pseudo-thickening of the colonic wall at the inner side of the flexure may occur because of compression of the colonic wall.
In our case, the finding of thickened colonic wall prompted us to consider the colon as the possible source of K. pneumoniae bacteremia.
Postmortem examination showed enlarged colonic lymph nodes with small nodular lesions, hyperemia of the colon mucosa, and corrugation and thickening of the colonic wall.
A colonoscopy aiming at disimpaction of a possible faecal mass revealed an empty colon with dozens of radio-opaque markers adhered to the colonic wall.
Straining during defecation can also contribute to diverticulosis, small outpouchings in the colonic wall, which may become inflamed (diverticulitis) and present serious complications.
There is a subtle bump on the colonic wall more proximally (white arrow).
There is no hypertrophy of the muscularis of the right colonic wall.
Multiple ulcerations of the sigmoid colonic wall and acute and chronic inflammation, acute serositis and perforation.
Water enema multidetector CT provides high-resolution multiplanar visualisation of the colonic wall.
Stercoral colitis is an inflammatory process involving the colonic wall related to fecal impaction.
These conditions may be suspected whenever colonic wall thickening with increased contrast enhancement is observed [7].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com