MODULE 18 – GASTROINTESTINAL TRACT (PATHOLOGY

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PRACTICAL PATHOLOGY 5: NON NEOPLASTIC LESION IN THE LOWER GIT

A)Jars:Organ: Part of the small intestine Description:  A 6 inches long blind ended pouch is seen arising from the antimesenteric border of the small intestine  The pouch lumen is equal to that of the intestine. Diagnosis: Meckel’s diverticulum.

©ACE 2013/14

MODULE 18 – GASTROINTESTINAL TRACT (PATHOLOGY)

Organ: Ileo-caecum Description:  Terminal ileum with its mesentry and appendix with its mesoappendix are forming the head of an intussusceptum, invaginating the wider caecum (intussuscipien) Diagnosis: Intussusception.

©ACE 2013/14

MODULE 18 – GASTROINTESTINAL TRACT (PATHOLOGY)

Organ: Appendix Description:  The appendicular wall is thickened and serosal surface is dull, opaque and covered by purulent material.  Cross section at the base shows congested, edematous mucosa with areas of ulceration.  The lumen is filled with purulent material  Near the tip, patches of gangrene, with two perforations are noted.  The mesoappendix is dull opaque and lusterless. Diagnosis: Acute suppurative appendicitis.

©ACE 2013/14

MODULE 18 – GASTROINTESTINAL TRACT (PATHOLOGY)

B) Slides :Acute suppurative appendicitis A cross section of the appendix showing:  The lumen contains acute inflammatory exudative material formed of fibrinous network entangling both fresh and degenarting polymorphs.  Focal mucosal ulceration.  Transmural oedema and infiltration by both fresh and degenerating polymorphs.  The inflammatory process has extended to the subserosa where congested vascular spaces are seen.

©ACE 2013/14

MODULE 18 – GASTROINTESTINAL TRACT (PATHOLOGY)

©ACE 2013/14

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