TISSUES: SMALL INTESTINE - SEGMENT OF SMALL BOWEL
PRE-OP DIAGNOSIS: Perforated viscus
POST-OP DIAGNOSIS: Same.
GROSS:
Received in formalin is an 11 cm segment of small bowel with attached mesentery measuring up to 3.5 cm in thickness. The bowel has serosal adhesions and fibrinopurulent exudate which is concentrated along the mesenteric area. Present in the center of this exudate is an apparent perforation. The mucosa otherwise appears normal. The mesenteric fat is focally hemorrhagic and indurated. No foreign body is noted.
DIAGNOSIS:
Small bowel segment, resection:
- perforation with acute inflammation and acute serositis
- patchy acute mucosal inflammation
- serosal adhesions
- mesenteric acute inflammation with abscess formation