Possible Crohn's disease
TERMINAL ILEUM, BIOPSY - SMALL FRAGMENTS OF SMALL BOWEL MUCOSA WITH A FOCAL EROSION ASSOCIATED WITH A SUPERFICIAL GRANULOMA, SEE COMMENT. - NEGATIVE FOR CRYPTITIS. COMMENT: The granuloma may be a consequence of the erosion; it is a non-specific finding. The differential diagnosis includes Crohn's disease, resolving infection, and NSAID-induced small bowel injury. Clinical correlation is required.
Deep ulcer - SBO
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.
SMALL BOWEL, RESECTION: - SMALL BOWEL WALL WITH A LARGE ULCER EXTENDING TO THE MUSCULARIS PROPRIA. - NEGATIVE FOR DYSPLASIA. - NEGATIVE FOR MALIGNANCY.