Difference between revisions of "Talk:Vermiform appendix"

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===Microscopic description===
===Microscopic description===
The sections show appendiceal mucosa with focal ulceration and reactive mucosal lymphoid hyperplasia.  The  
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),  
muscularis propria 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.
which are also found at the serosal surface. The proximal resection margin is intact.  Ganglion cells are present.


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- Acute appendicits.<br>
- Acute appendicits.<br>
- Acute periappendicitis.
- Acute periappendicitis.
==Negative appy - GS==
===Microscopic description===
The sections show appendiceal mucosa with focal ulceration, as demonstrated by intraluminal debris and neutrophils, and marked reactive mucosal/submucosal lymphoid hyperplasia. There are no granulomas and no crypt architectural changes of chronic inflammation.  The muscularis propria is not infiltrated by inflammatory cells, nor is the serosal surface. The proximal resection margin is intact. Ganglion cells are present.
===Final diagnosis===
Vermiform appendix, appendectomy - acute inflammation, see microscopic description.

Revision as of 21:57, 1 February 2011

Acute appendicitis with periappendicits - children

Microscopic description

The sections show appendiceal mucosa with focal ulceration and reactive mucosal lymphoid hyperplasia. The muscularis propria 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.

Negative appy - GS

Microscopic description

The sections show appendiceal mucosa with focal ulceration, as demonstrated by intraluminal debris and neutrophils, and marked reactive mucosal/submucosal lymphoid hyperplasia. There are no granulomas and no crypt architectural changes of chronic inflammation. The muscularis propria is not infiltrated by inflammatory cells, nor is the serosal surface. The proximal resection margin is intact. Ganglion cells are present.

Final diagnosis

Vermiform appendix, appendectomy - acute inflammation, see microscopic description.