Difference between revisions of "Talk:Vermiform appendix"

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==Checklist approach - to the routine appendix==
==Checklist approach - to the routine appendix==
===Microscopic description===
===Microscopic description===
Neutrophils in muscularis propria - yes.<br>
Neutrophils in muscularis propria - present.<br>
Inflammation at the serosal surface - yes.<br>
Inflammation at the serosal surface - present.<br>
Site of perforation identified - no.<br>
Site of perforation identified - no.<br>
Lymphoid hyperplasia - yes.<br>
Lymphoid hyperplasia - present.<br>
Granulomatous inflammation - no.<br>
Granulomatous inflammation - not identified.<br>


Fecalith - not identified.<br>
Fecalith - not identified.<br>
Infectious organisms - none identified on routine stains.<br>
Infectious organisms - not identified on routine stains.<br>


Resection margin viable - yes.<br>
Resection margin viable - yes.<br>

Revision as of 21:32, 1 February 2011

Acute appendicitis with periappendicits - children

Microscopic description

The sections show appendiceal mucosa with focal ulceration and reactive mucosal lymphoid hyperplasia. The appendical wall is infiltrated by inflammatory cells (including, lymphocytes, neutrophils and eosinophils), which are also found at the serosal surface. The proximal resection margin is intact. Ganglion cells are present.

Final diagnosis

Vermiform appendix, appendectomy - acute appendicits with periappendicitis.

Checklist approach - to the routine appendix

Microscopic description

Neutrophils in muscularis propria - present.
Inflammation at the serosal surface - present.
Site of perforation identified - no.
Lymphoid hyperplasia - present.
Granulomatous inflammation - not identified.

Fecalith - not identified.
Infectious organisms - not identified on routine stains.

Resection margin viable - yes.
Ganglion cells - present.

Final diagnosis

Vermiform appendix, appendectomy:
- Acute appendicits.
- Acute periappendicitis.