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Difference between revisions of "Volvulus"
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'''Volvulus''' is a benign [[colon|colonic]] pathology. | |||
==General== | |||
*Uncommonly comes to pathology. | |||
*It is essentially a radiologic diagnosis. | |||
*In the context of [[autopsy]], it is a gross diagnosis. | |||
==Gross== | |||
*Intestine folded over itself - typically leads to ischemia. | |||
===Images=== | |||
*[http://library.med.utah.edu/WebPath/GIHTML/GI032.html Cecal volvulus (utah.edu)]. | |||
*[http://pathsrvr.rockford.uic.edu/inet/GI/Photo%202%20-%20Volvulus%20of%20small%20intestine_%20gross.gif Volvulus (uic.edu)].<ref>URL: [http://pathsrvr.rockford.uic.edu/inet/GI/GI%20Station%201.htm http://pathsrvr.rockford.uic.edu/inet/GI/GI%20Station%201.htm]. Accessed on: 9 April 2012.</ref> | |||
==Microscopic== | |||
Features: | |||
*+/-Ischemic changes and/or [[necrosis]]. | |||
DDx - essentially anything that causes ischemia: | |||
*Embolus. | |||
*[[Thrombosis]]. | |||
*[[Vasculitis]]. | |||
==Sign out== | |||
<pre> | |||
RECTOSIGMOID, RESECTION: | |||
- MURAL ISCHEMIA WITH PERFORATION, SEROSITIS, MICROABSCESS FORMATION AND POORLY FORMED PSEUDOMEMBRANES. | |||
- SUBMUCOSAL FIBROSIS. | |||
- NEGATIVE FOR MALIGNANCY. | |||
COMMENT: | |||
The findings are consistent with volvulus and the submucosal fibrosis suggests this may have been recurrent. | |||
</pre> | |||
==See also== | |||
*[[Colon]]. | |||
==References== | |||
{{Reflist|1}} | |||
[[Category:Diagnosis]] | [[Category:Diagnosis]] | ||
[[Category:Colon]] | |||