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Mujer de 64 años, con antecedentes de paraplejia postraumática e infecciones urinarias de repetición. Consulta por fiebre de 3 días de evolución y clínica miccional. La exploración es compatible con cuadro oclusivo, observándose distensión severa de recto-sigma en tomografía computerizada. Se realiza Hartmann. Se confirma colitis pseudomembranosa en estudio anatomopatológico. A 64-year-old woman with a history of traumatic paraplegia and recurrent urinary infections was admitted to this hospital because of fever and urinary tract symptoms. Abdominal examination revealed marked distention with diminished bowel sounds, and severe rectosigmoid distention is observed in computed tomography. Hartmann is performed. Pseudomembranous colitis is confirmed after performing an anatomic pathology examination.