Difference between revisions of "Vermiform appendix"

Jump to navigation Jump to search

Vermiform appendix (view source)

Revision as of 14:10, 5 May 2016

1,781 bytes removed ,  14:10, 5 May 2016
→‎Negative appendectomy
Line 43: Line 43:


==Negative appendectomy==
==Negative appendectomy==
===General===
{{Main|Negative appendectomy}}
*Common.
An appendectomy done for presumed [[acute appendicitis]] that is pathologically within normal limits
*Use for quality control among general surgeons.{{fact}}
 
===Gross===
See ''[[normal vermiform appendix]]''.
 
===Microscopic===
See ''[[normal vermiform appendix]]''.
 
Notes:
*Should be ''[[submitted in total]]''.
 
DDx:
*[[Acute appendicitis]].
*[[Adenovirus appendicitis]].
*[[Appendiceal neuroendocrine tumour]].
*Non-appendiceal pathology - see DDx of ''[[acute appendicitis]].
**Isolated [[periappendicitis]].
*[[Crypt cell carcinoma]] - [[AKA]] ''goblet cell carcinoid''.
 
===Sign out===
<pre>
Vermiform Appendix, Appendectomy:
- Appendix within normal limits.
- One benign lymph node.
- NEGATIVE for acute appendicitis and NEGATIVE for periappendicitis.
 
Comment:
The specimen was submitted in total.
</pre>
 
=====Block letters=====
<pre>
VERMIFORM APPENDIX, APPENDECTOMY:
- APPENDIX NEGATIVE FOR ACUTE APPENDICITIS AND NEGATIVE FOR ACUTE PERIAPPENDICITIS.
</pre>
 
<pre>
VERMIFORM APPENDIX, APPENDECTOMY:
- APPENDIX WITH LYMPHOID HYPERPLASIA AND FOCAL MUCOSAL EROSIONS.
- NEGATIVE FOR ACUTE APPENDICITIS.
- NEGATIVE FOR ACUTE PERIAPPENDICITIS.
</pre>
 
====Micro====
The sections show appendiceal wall with focal mucosa erosions and several intraluminal
neutrophil clusters.  Lymphoid hyperplasia is present. Fecal material is present within
the lumen of the appendix.
 
There are no neutrophils within the muscularis propria. There is no serositis. There is
no distortion of the crypt architecture. No granulomas are identified. No cryptitis is
identified.
 
=====Alternate=====
The section show appendiceal wall without increased numbers of neutrophils. The
appendiceal lumen has cellular debris and inflammatory cells. The mucosa has prominent lymphoid tissue
with germinal centre formation.
 
No intraluminal pathologic micro-organisms are seen. There is no serositis. There is no
distortion of the crypt architecture. No granulomas are identified. No cryptitis
is identified.


=Inflammatory pathologies=
=Inflammatory pathologies=
Michael
48,877

edits

Retrieved from "https://librepathology.org/wiki/Special:MobileDiff/44165"

Navigation menu