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MODULE 18 GASTROINTESTINAL TRACT (PATHOLOGY)
ACE 2013/14
PRACTICAL PATHOLOGY 5: NON NEOPLASTIC LESION IN THE LOWER
GIT
A)Jars:-
Organ: Part of the small intestine
Description:
A 6 inches long blind ended pouch is seen arising from the
antimesentericborder of the small intestine
The pouch lumen is equal to that of the intestine.Diagnosis:
Meckels diverticulum.
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MODULE 18 GASTROINTESTINAL TRACT (PATHOLOGY)
ACE 2013/14
Organ: Ileo-caecum
Description:
Terminal ileum with its mesentry and appendix with its
mesoappendix areforming the head of an intussusceptum, invaginating
the wider caecum
(intussuscipien)
Diagnosis: Intussusception.
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MODULE 18 GASTROINTESTINAL TRACT (PATHOLOGY)
ACE 2013/14
Organ: Appendix
Description:
The appendicular wall is thickened and serosal surface is dull,
opaque andcovered by purulent material.
Cross section at the base shows congested, edematous mucosa with
areasof ulceration.
The lumen is filled with purulent material Near the tip, patches
of gangrene, with two perforations are noted. The mesoappendix is
dull opaque and lusterless.
Diagnosis: Acute suppurative appendicitis.
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MODULE 18 GASTROINTESTINAL TRACT (PATHOLOGY)
ACE 2013/14
B) Slides :-
Acute suppurative appendicitis
A cross section of the appendix showing:
The lumen contains acute inflammatory exudative material formed
offibrinous network entangling both fresh and degenarting
polymorphs.
Focal mucosal ulceration. Transmural oedema and infiltration by
both fresh and degenerating
polymorphs.
The inflammatory process has extended to the subserosa where
congestedvascular spaces are seen.
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MODULE 18 GASTROINTESTINAL TRACT (PATHOLOGY)
ACE 2013/14
