Difference between revisions of "Colon"

Colon (view source)

1,034 bytes added , 17:08, 21 December 2012

48,699

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 ===Sign out===
+====Short version====
 <pre>
 LEFT COLON AND SIGMOID COLON, RESECTION:
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 however, it may be seen in other contexts, including infection. Clinical correlation is
 required.
+</pre>
+====Long version====
+<pre>
+RECTOSIGMOID, RESECTION:
+- BOWEL WALL ISCHEMIA WITH PERFORATION, SEROSITIS, MICROABSCESS FORMATION AND FOCAL
+POORLY FORMED PSEUDOMEMBRANES.
+- NEGATIVE FOR MALIGNANCY.
+- PLEASE SEE COMMENT.
+COMMENT:
+There is no evidence of inflammatory bowel disease:
+The unaffected mucosa does not have obvious architectural distortion. No granulomas are
+identified. The inflammation is largely associated with necrosis/ischemic changes
+and favoured to be reactive.
+The poorly formed pseudomembranes are associated with mural ischemic changes; they do not
+specifically suggest an infection in this context.
+The blood vessels do not show a vasculitis, or significant atherosclerosis.  Thrombi are
+seen on several sections and found predominantly in the (smaller) veins.
+Considerations are thrombosis, thromboembolism, mechanical vascular compromise, and
+infectious etiologies.  A vascular compromise is favoured as the underlying cause.
+Clinical and radiologic correlation is suggested.
 </pre>