Difference between revisions of "Small intestine"
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| + | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
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==Presentations and targets== | ==Presentations and targets== | ||
*[[Intestine with tumor]] | *[[Intestine with tumor]] | ||
*[[Small intestine ischemia]] | *[[Small intestine ischemia]] | ||
*[[Small intestine in celiac disease]] | *[[Small intestine in celiac disease]] | ||
| − | + | {{Comprehensiveness}} | |
==Gross processing== | ==Gross processing== | ||
More specific grossing is available for presentations above. For larger specimens (not biopsies): | More specific grossing is available for presentations above. For larger specimens (not biopsies): | ||
| + | *Read the referral or requisition note if available. {{Moderate-begin}}Also look into the operative report, in order to confirm or negate pertinent suspicions or findings, mainly perforation.{{Moderate-end}} | ||
*Identify '''segment''' of intestine if possible. | *Identify '''segment''' of intestine if possible. | ||
*Measure '''length''', average '''width''' and any significant variations thereof. | *Measure '''length''', average '''width''' and any significant variations thereof. | ||
| − | * | + | *{{Moderate-begin}}Measure the '''mesentery'''.{{Moderate-end}} |
*Inspect the '''serosa'''- look for any perforations, adhesions, fistulas and exudate. | *Inspect the '''serosa'''- look for any perforations, adhesions, fistulas and exudate. | ||
:*If perforation is present, try to probe it from the serosal surface | :*If perforation is present, try to probe it from the serosal surface | ||
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*Look for for any '''mucosal lesions'''. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula. | *Look for for any '''mucosal lesions'''. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula. | ||
*Note the '''thickness''' of the wall. | *Note the '''thickness''' of the wall. | ||
| − | *Note any obvious mesenterial '''lymph nodes'''. | + | *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: | *'''Sections''' to submit for microscopy: | ||
| − | :*2 sections of any perforation(s), any mucosal lesions, any obvious lymph nodes. | + | :*2 sections of any perforation(s), any mucosal lesions, and any obvious lymph nodes. |
| + | {{Bottom}} | ||
Latest revision as of 17:48, 14 April 2021
Author:
Mikael Häggström [note 1]
Contents
Presentations and targets
Comprehensiveness
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
- ((Comprehensive))
Gross processing
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.[1]
- 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.
Notes
- ↑ 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
