Colon: Difference between revisions
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*[[Colon ischemia]] | *[[Colon ischemia]] | ||
*[[Intestine with tumor]] | *[[Intestine with tumor]] | ||
:*[[Total mesorectal excision]] | :*[[Total mesorectal excision with tumor]] | ||
==Gross processing== | ==Gross processing== | ||
Revision as of 09:31, 18 August 2020
Author:
Mikael Häggström [note 1]
Presentations
Gross processing
More specific grossing is available for presentations above.
- 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
- ↑ 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.
Main page
References
Image sources