Colon for diverticulitis: Difference between revisions
Jump to navigation
Jump to search
Templated |
→Gross processing: Expanded |
||
| Line 6: | Line 6: | ||
{{Comprehensiveness|otherlegend=yes}} | {{Comprehensiveness|otherlegend=yes}} | ||
==Gross processing== | ==Gross processing== | ||
As per [[Colon#Gross processing]]. | [[File:Gross pathology of diverticulitis with diverticular abscesses.jpg|thumb|Longitudinally opened colon (inside/mucosa at top and outside/serosa at bottom), showing diverticulitis with two diverticular abscesses (white arrows). The dark coloration at right is previous colon tattooing for localization.]] | ||
As per [[Colon#Gross processing]]. Make multiple longitudinal cuts to look for inflamed diverticuli. {{Moderate-begin}}Measure the deepest diverticulum found.{{Moderate-end}} | |||
===Tissue selection=== | ===Tissue selection=== | ||
| Line 15: | Line 14: | ||
*Mesenteric margin{{Moderate-end}} | *Mesenteric margin{{Moderate-end}} | ||
*Diverticuli | *Diverticuli | ||
*Strive to sample 4-8 lymph nodes. | |||
*{{Finding-begin}}Representative sections of any "'''[[Stoma|donuts]]'''"{{Finding-end}} | *{{Finding-begin}}Representative sections of any "'''[[Stoma|donuts]]'''"{{Finding-end}} | ||
| Line 22: | Line 22: | ||
Template: | Template: | ||
{|class=wikitable | {|class=wikitable | ||
| {{Moderate-begin}}A. Labeled - __.<br>The specimen is received in formalin and consists of{{Moderate-end}} a segment of large intestine which measures __ cm in length and __ cm in average diameter. The serosal surface is tan and smooth. {{Comprehensive-begin}}The proximal surgical margin is inked blue and the distal surgical margin is inked green. The mesenteric margin is inked red.{{Comprehensive-end}} The specimen is opened longitudinally to reveal a smooth mucosa. There are multiple diverticula measuring up to __ cm in depth. The rest of the mucosa is tan-pink with normal mucosal folds. The lumen is not dilated. The wall measures __ cm in thickness. Within the mesorectum there are __ possible lymph nodes measuring up to __cm in greatest dimension. {{Finding-begin}}Also included in the container are __ unremarkable colonic [[stoma|donuts]] measuring __ and __ cm in diameter.{{Finding-end}} Representative sections are submitted for microscopic examination in __ cassettes. | | {{Moderate-begin}}A. Labeled - __.<br>The specimen is received in formalin and consists of{{Moderate-end}} a segment of large intestine which measures __ cm in length and __ cm in average diameter. The serosal surface is tan and smooth. {{Comprehensive-begin}}The proximal surgical margin is inked blue and the distal surgical margin is inked green. The mesenteric margin is inked red.{{Comprehensive-end}} The specimen is opened longitudinally to reveal a smooth mucosa. There are multiple diverticula {{Moderate-begin}}measuring up to __ cm in depth{{Moderate-end}}. The rest of the mucosa is tan-pink with normal mucosal folds. The lumen is not dilated. The wall measures __ cm in thickness. Within the mesorectum there are __ possible lymph nodes measuring up to __cm in greatest dimension. {{Finding-begin}}Also included in the container are __ unremarkable colonic [[stoma|donuts]] measuring __ and __ cm in diameter.{{Finding-end}} Representative sections are submitted for microscopic examination in __ cassettes. | ||
|} | |} | ||
{{Bottom}} | {{Bottom}} | ||
Revision as of 14:12, 25 October 2021
Author:
Mikael Häggström [note 1]
This article is about a resection of part of the colon (usually part of or including the sigmoid colon):
Comprehensiveness
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
- ((Comprehensive))
- Other legend
<< Decision needed between alternatives separated by / signs >>
{{Common findings / In case of findings}}
[[Comments]]
Link to another page
Gross processing
As per Colon#Gross processing. Make multiple longitudinal cuts to look for inflamed diverticuli. (Measure the deepest diverticulum found.)
Tissue selection
- (Proximal surgical margin, en face[note 2]
- Distal surgical margin, en face
- Mesenteric margin)
- Diverticuli
- Strive to sample 4-8 lymph nodes.
- {{Representative sections of any "donuts"}}
Gross report
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
- ((Comprehensive))
- Other legend
<< Decision needed between alternatives separated by / signs >>
{{Common findings / In case of findings}}
[[Comments]]
Link to another page
Template:
| (A. Labeled - __. The specimen is received in formalin and consists of) a segment of large intestine which measures __ cm in length and __ cm in average diameter. The serosal surface is tan and smooth. ((The proximal surgical margin is inked blue and the distal surgical margin is inked green. The mesenteric margin is inked red.)) The specimen is opened longitudinally to reveal a smooth mucosa. There are multiple diverticula (measuring up to __ cm in depth). The rest of the mucosa is tan-pink with normal mucosal folds. The lumen is not dilated. The wall measures __ cm in thickness. Within the mesorectum there are __ possible lymph nodes measuring up to __cm in greatest dimension. {{Also included in the container are __ unremarkable colonic donuts measuring __ and __ cm in diameter.}} Representative sections are submitted for microscopic examination in __ cassettes. |
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
- ↑ En face means that the section is tangential to the region of interest (such as a lesion) of a specimen. Further information: Gross_processing#Cutting
Main page
References
Image sources