Chronic appendicitis
Author:
Mikael Häggström [note 1]
Chronic appendicitis (including peri-appendicitis):
Contents
Fixation
Generally 10% neutral buffered formalin.
See also: General notes on fixation
Comprehensiveness
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
- ((Comprehensive))
Gross processing
Further information: Appendix A major visual clue to chronic appendicitis is fibrosis.[1]
(When the referral and/or history suggests chronic appendicitis, take additional slices for microscopy.)[notes 1]
Microscopic evaluation
Further information: Appendicitis Chronic appendicitis has predominantly mononuclear infiltrate rather than neutrophilic.[1] It must go beyond the normal histological locations of mononuclear leucocytes of the appendix.
Even when chronic appendicitis is detected, also look for acute appendicitis, as well as appendix cancer.(Further information: Appendix )
Microscopy report
(Note even the absence of acute appendicitis.)
Example:
Patchy chronic peri-appendicitis. (Negative for acute inflammation.) |
Notes
- ↑ It will require additional slices to comfortably rule out acute appendicitis.
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
Main page
References
Image sources