Talk:Vermiform appendix

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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 - yes.
Inflammation at the serosal surface - yes.
Site of perforation identified - no.
Lymphoid hyperplasia - yes.
Granulomatous inflammation - no.

Fecalith - not identified.
Infectious organisms - none identified on routine stains.

Resection margin viable - yes.
Ganglion cells - present.

Final diagnosis

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