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The differential diagnosis includes Crohn's disease, resolving infection, and | The differential diagnosis includes Crohn's disease, resolving infection, and | ||
NSAID-induced small bowel injury. Clinical correlation is required. | NSAID-induced small bowel injury. Clinical correlation is required. | ||
</pre> | |||
== Deep ulcer - SBO == | |||
===Micro=== | |||
The sections shows small bowel wall with a large ulcer. The ulcer extends to muscularis | |||
propria. Active fibroblasts are abundant in the ulcer bed, and cryptitis and | |||
crypt abscesses are seen adjacent to the ulcer. The serosa is congested and the subserosal | |||
tissue inflammed. The arteries show mild atherosclerosis. No thrombosis is apparent. | |||
There is no dysplasia. The bowel wall distant from the ulcer is unremarkable. | |||
==Diagnosis== | |||
<pre> | |||
SMALL BOWEL, RESECTION: | |||
- SMALL BOWEL WALL WITH A LARGE ULCER EXTENDING TO THE MUSCULARIS PROPRIA. | |||
- NEGATIVE FOR DYSPLASIA. | |||
- NEGATIVE FOR MALIGNANCY. | |||
</pre> | </pre> | ||
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