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Presentations and targets
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
More specific grossing is available for presentations above. For larger specimens (not biopsies):
- Read the referral or requisition note if available. (Also look into the operative report, in order to confirm or negate pertinent suspicions or findings, mainly perforation.)
- Identify segment of intestine if possible.
- Measure length, average width and any significant variations thereof.
- (Measure the mesentery.)
- Inspect the serosa- look for any perforations, adhesions, fistulas and exudate.
- If perforation is present, try to probe it from the serosal surface
- Open longitudinally
- If the specimen is not fixed already, put it in formalin, preferably for a total of 48 hours.
- Look for for any mucosal lesions. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula.
- Note the thickness of the wall.
- Note any obvious mesenterial lymph nodes. A more comprehensive search for lymph nodes is necessary in cases of Intestine with tumor.
- Sections to submit for microscopy:
- 2 sections of any perforation(s), any mucosal lesions, and any obvious lymph nodes.