Colon: Difference between revisions

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+Gross processing
Mikael Häggström (talk | contribs)
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*Look for for any '''mucosal lesions'''. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula
*Look for for any '''mucosal lesions'''. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula
*Note the '''thickness''' of the wall
*Note the '''thickness''' of the wall
*Optionally, measure the mesentery
*Optionally, measure the '''mesentery'''
*Note any obvious mesenterial lymph nodes
*Note any obvious mesenterial '''lymph nodes'''
*Sections 2 sections of any perforation(s), one section of intact diverticulum, any mucosal lesions, any obvious lymph nodes. If there is no perforation: 3 sections of diverticulum.
*'''Sections''' to submit for microscopy:
:*2 sections of any perforation(s), one section of intact diverticulum, any mucosal lesions, any obvious lymph nodes.  
:*If there is no perforation: 3 sections of diverticulum.
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Revision as of 10:30, 12 August 2020

Author: Mikael Häggström [note 1]

Presentations

Gross processing

  • Identify segment of colon
  • Measure length and variations in width
  • Inspect the serosa- look for any perforations, adhesions, fistulas and exudate
  • If perforation is present, try to probe it from the serosal surface
  • Open longitudinally
  • Semi-quantitate the number of diverticula – “numerous” if too many to count
  • Look for for any mucosal lesions. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula
  • Note the thickness of the wall
  • Optionally, measure the mesentery
  • Note any obvious mesenterial lymph nodes
  • Sections to submit for microscopy:
  • 2 sections of any perforation(s), one section of intact diverticulum, any mucosal lesions, any obvious lymph nodes.
  • If there is no perforation: 3 sections of diverticulum.

Notes

  1. 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.

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References


Image sources