Michael: /* Deep ulcer - SBO */ new section

2013-07-24T09:52:42Z

Deep ulcer - SBO: new section

← Older revision		Revision as of 09:52, 24 July 2013
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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>

Michael: create

2012-12-07T23:12:15Z

create

New page

==Possible Crohn's disease==
===Sign out===
<pre>
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.
</pre>

Talk:Small intestine - Revision history

Michael: /* Deep ulcer - SBO */ new section

Michael: create