MODULE 18 GASTROINTESTINAL TRACT (PATHOLOGY)

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: Meckels 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