Abdominal pannus

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Abdominal pannus is the pathology specimens corresponding to an abdominoplasty (also known as tummy tuck). It is generally considered a ditzel.

Pannus redirects here; pannona has been proposed as a better term.[1]

Panniculus and striae also redirect here.

General

  • An apron-like excess of skin - following weight loss.[2]
  • Seen in obesity.

Gross

  • Skin with abundant fat.
    • Pieces usually triangular.
    • Stretch marks (striae) are very common.

Notes:

Images

Microscopic

Features:

  • Adipose tissue.

DDx:

Images

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Abdominal Skin and Tissue (530 grams), Excision:
     - Skin and adipose tissue within normal limits.

Block letters

ABDOMINAL PANNUS, EXCISION:
- BENIGN SKIN AND ADIPOSE TISSUE.
ABDOMINAL PANNUS, EXCISION:
- DERMAL SCAR, BENIGN SKIN AND ADIPOSE TISSUE.

Gross only

ABDOMINAL PANNUS, EXCISION:
- BENIGN SKIN AND ADIPOSE TISSUE (GROSS ONLY).

See also

References

  1. Cunningham, SC.; Klein, RV. (Apr 2007). "Nomenclature question: panniculus or pannus? Answer: pannona.". J Am Coll Surg 204 (4): 726-7. doi:10.1016/j.jamcollsurg.2007.01.027. PMID 17382240.
  2. URL: http://plasticsurgery.about.com/od/glossary/g/panniculectomy.htm. Accessed on: 18 July 2012.