Partial colectomy for diverticular disease
Partial colectomy for diverticular disease is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled sigmoidectomy for diverticular disease.
The pathologist's main tasks in this specimen is:
- Confirming and documenting extent of the disease.
- Excluding malignancy.
- Length __ cm.
- Circumference (proximal/one end) __ cm.
- Circumference (distal/other end) __ cm.
- Mesentry (maximal): __ cm.
- Serosal surface: [shiny/hemorrhagic/dull/exudate/adhesions].
- Mucosa: [unremarkable/granular].
- Polyps: [none/number - size __ cm, location (to nearest resection margin): __ cm].
- Number of diverticula (count up to 6, then estimate): [number of diverticula].
- Wall: [unremarkable/thickened].
- Perforation: [not identified/present - location of perforation (to nearest mucosal margin): __ cm, size of performation __ cm].
Representative sections submitted:
- Proximal mucosal margin.
- Distal mucosal margin.
- Diverticula (3-5 blocks).
- Interdiverticular mucosa (2 blocks).
- Lymph nodes (2 blocks).