Specimen: Small bowel with bone
Gross: Received fresh is an opened, 15.0 cm segment of small bowel with attached mesenteric fat extending the length, averaging 2.5 cm. The pink-tan serosa is smooth, glistening, and mildly congested. The entirety of the mucosa is mildly to severely edematous. There are two separate areas of mucosal ulceration and erythema which are 6.0 cm apart and as close as 3.5 cm from the nearest margin. The largest area of ulceration is 3.5 x 1.0 cm, with the opposite area being 1.5 x 0.5 cm. The areas both have some thin, yellow-green exudate. There is no transmural perforation identified. The mesenteric fat is edematous, but otherwise unremarkable. The container has two calcified fragments of tissue, consistent with bone (3.0 x 1.0 x 0.6 cm and 1.6 x 0.3 x 0.2 cm).
Diagnoses:
Small intestine, resection - Segment of small intestine harboring two fragments of bone consistent with ingested foreign bodies, complicated by acute enteritis with ulceration, perforation, and intramural abscess.