Volvulus - Revision history

Michael: /* Sign out */ +alt

2021-01-12T20:37:18Z

Sign out: +alt

← Older revision		Revision as of 20:37, 12 January 2021
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	==Sign out==		==Sign out==
			<pre>
			Sigmoid Colon, Excision:
			- Colonic wall with submucosal edema and zonal early degenerative
			change of the mucosa, see comment.
			- Three benign lymph nodes.
			- NEGATIVE for malignancy.

			Comment:
			The clinical and radiologic impression are noted; the changes are compatible with volvulus.
			</pre>

			===Block letters===
	<pre>		<pre>
	RECTOSIGMOID, RESECTION:		RECTOSIGMOID, RESECTION:

Michael: /* Microscopic */

2017-12-14T18:14:29Z

Microscopic

← Older revision		Revision as of 18:14, 14 December 2017
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	*+/-Ischemic changes and/or [[necrosis]].		*+/-Ischemic changes and/or [[necrosis]].

	DDx ~~- essentially~~ anything that causes ischemia:		DDx:
	*Embolus.		*Essentially anything that causes ischemia:
	*[[Thrombosis]].		**Embolus.
	*[[Vasculitis]].		**[[Thrombosis]].
			**[[Vasculitis]].
			**Others.

	==Sign out==		==Sign out==

Michael: /* General */

2017-12-14T18:13:32Z

General

← Older revision		Revision as of 18:13, 14 December 2017
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	==General==		==General==
	*~~Uncommonly comes to pathology~~.		*Uncommon specimen.
	*It is essentially a radiologic diagnosis.		*It is essentially a radiologic [[clinical diagnosis\|diagnosis]].
	*In the context of [[autopsy]], it is a gross diagnosis.		*In the context of [[autopsy]], it is a gross diagnosis.

Michael: /* Images */

2017-12-14T18:12:49Z

Images

← Older revision		Revision as of 18:12, 14 December 2017
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	===Images===		===Images===
	<gallery>		<gallery>
	File:Volvulus_(Dickdarm).JPG \| Volvulus at ~~gross~~. (WC)		File:Volvulus_(Dickdarm).JPG \| Volvulus at surgery. (WC)
	File:Sigmavolvulus - Coffee-bean-sign - LSL.jpg\| X-ray coffee bean sign in volvulus. (WC)		File:Sigmavolvulus - Coffee-bean-sign - LSL.jpg\| X-ray coffee bean sign in volvulus. (WC)
	</gallery>		</gallery>

Michael: /* Gross */

2017-12-14T18:12:34Z

Gross

← Older revision		Revision as of 18:12, 14 December 2017
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	<gallery>		<gallery>
	File:Volvulus_(Dickdarm).JPG \| Volvulus at gross. (WC)		File:Volvulus_(Dickdarm).JPG \| Volvulus at gross. (WC)
			File:Sigmavolvulus - Coffee-bean-sign - LSL.jpg\| X-ray coffee bean sign in volvulus. (WC)
	</gallery>		</gallery>
	====www====		====www====

Michael: /* Radiology */

2017-12-14T16:55:08Z

Radiology

← Older revision		Revision as of 16:55, 14 December 2017
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	===Radiology===		===Radiology===
	*In the context sigmoid volvulus - may be described as having ''coffee bean sign''.<ref name=pmid18559802>{{Cite journal \| last1 = Lee \| first1 = YS. \| last2 = Lee \| first2 = WJ. \| title = Coffee-bean sign. \| journal = CMAJ \| volume = 178 \| issue = 13 \| pages = 1657 \| month = Jun \| year = 2008 \| doi = 10.1503/cmaj.071760 \| PMID = 18559802 }}</ref>		*In the context sigmoid volvulus - the colon may be described as having a ''coffee bean sign''.<ref name=pmid18559802>{{Cite journal \| last1 = Lee \| first1 = YS. \| last2 = Lee \| first2 = WJ. \| title = Coffee-bean sign. \| journal = CMAJ \| volume = 178 \| issue = 13 \| pages = 1657 \| month = Jun \| year = 2008 \| doi = 10.1503/cmaj.071760 \| PMID = 18559802 }}</ref>
	**The "coffee bean" is: large bowel folded over itself and twisted in away that creates two compartments.<ref name=pmid20436903>{{Cite journal \| last1 = Moseley \| first1 = BD. \| last2 = Bhagra \| first2 = A. \| title = The coffee bean sign. \| journal = Int J Emerg Med \| volume = 2 \| issue = 4 \| pages = 267-8 \| month = Nov \| year = 2009 \| doi = 10.1007/s12245-009-0134-7 \| PMID = 20436903 }}</ref>		**The "coffee bean" is: large bowel folded over itself and twisted in away that creates two compartments.<ref name=pmid20436903>{{Cite journal \| last1 = Moseley \| first1 = BD. \| last2 = Bhagra \| first2 = A. \| title = The coffee bean sign. \| journal = Int J Emerg Med \| volume = 2 \| issue = 4 \| pages = 267-8 \| month = Nov \| year = 2009 \| doi = 10.1007/s12245-009-0134-7 \| PMID = 20436903 }}</ref>

Michael: /* Gross */

2017-12-14T16:47:34Z

Gross

← Older revision		Revision as of 16:47, 14 December 2017
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	*Intestine folded over itself - typically leads to ischemia.		*Intestine folded over itself - typically leads to ischemia.

	Radiology:		===Radiology===
	*In the context sigmoid volvulus - may be described as having ''coffee bean sign''.<ref name=pmid18559802>{{Cite journal \| last1 = Lee \| first1 = YS. \| last2 = Lee \| first2 = WJ. \| title = Coffee-bean sign. \| journal = CMAJ \| volume = 178 \| issue = 13 \| pages = 1657 \| month = Jun \| year = 2008 \| doi = 10.1503/cmaj.071760 \| PMID = 18559802 }}</ref>		*In the context sigmoid volvulus - may be described as having ''coffee bean sign''.<ref name=pmid18559802>{{Cite journal \| last1 = Lee \| first1 = YS. \| last2 = Lee \| first2 = WJ. \| title = Coffee-bean sign. \| journal = CMAJ \| volume = 178 \| issue = 13 \| pages = 1657 \| month = Jun \| year = 2008 \| doi = 10.1503/cmaj.071760 \| PMID = 18559802 }}</ref>
	**The "coffee bean" is: large bowel folded over itself and twisted in away that creates two compartments.<ref name=pmid20436903>{{Cite journal \| last1 = Moseley \| first1 = BD. \| last2 = Bhagra \| first2 = A. \| title = The coffee bean sign. \| journal = Int J Emerg Med \| volume = 2 \| issue = 4 \| pages = 267-8 \| month = Nov \| year = 2009 \| doi = 10.1007/s12245-009-0134-7 \| PMID = 20436903 }}</ref>		**The "coffee bean" is: large bowel folded over itself and twisted in away that creates two compartments.<ref name=pmid20436903>{{Cite journal \| last1 = Moseley \| first1 = BD. \| last2 = Bhagra \| first2 = A. \| title = The coffee bean sign. \| journal = Int J Emerg Med \| volume = 2 \| issue = 4 \| pages = 267-8 \| month = Nov \| year = 2009 \| doi = 10.1007/s12245-009-0134-7 \| PMID = 20436903 }}</ref>

Michael: coffee bean sign

2017-12-14T16:47:16Z

coffee bean sign

← Older revision		Revision as of 16:47, 14 December 2017
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	'''Volvulus''' is a benign [[colon\|colonic]] pathology.		'''Volvulus''' is a benign [[colon\|colonic]] pathology of the cecum or sigmoid colon.

	==General==		==General==
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	==Gross==		==Gross==
	*Intestine folded over itself - typically leads to ischemia.		*Intestine folded over itself - typically leads to ischemia.

			Radiology:
			*In the context sigmoid volvulus - may be described as having ''coffee bean sign''.<ref name=pmid18559802>{{Cite journal \| last1 = Lee \| first1 = YS. \| last2 = Lee \| first2 = WJ. \| title = Coffee-bean sign. \| journal = CMAJ \| volume = 178 \| issue = 13 \| pages = 1657 \| month = Jun \| year = 2008 \| doi = 10.1503/cmaj.071760 \| PMID = 18559802 }}</ref>
			**The "coffee bean" is: large bowel folded over itself and twisted in away that creates two compartments.<ref name=pmid20436903>{{Cite journal \| last1 = Moseley \| first1 = BD. \| last2 = Bhagra \| first2 = A. \| title = The coffee bean sign. \| journal = Int J Emerg Med \| volume = 2 \| issue = 4 \| pages = 267-8 \| month = Nov \| year = 2009 \| doi = 10.1007/s12245-009-0134-7 \| PMID = 20436903 }}</ref>

	===Images===		===Images===

Michael: /* Gross */ +images

2015-05-28T22:33:56Z

Gross: +images

← Older revision		Revision as of 22:33, 28 May 2015
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	===Images===		===Images===
			<gallery>
			File:Volvulus_(Dickdarm).JPG \| Volvulus at gross. (WC)
			</gallery>
			====www====
	*[http://library.med.utah.edu/WebPath/GIHTML/GI032.html Cecal volvulus (utah.edu)].		*[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>		*[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>

Michael: split out

2015-05-28T22:31:18Z

split out

← Older revision		Revision as of 22:31, 28 May 2015
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	~~#redirect~~ [[Colon~~#Volvulus~~]]		'''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]]