| Case 214 | Surgical Pathology Case |
| CLINICAL INFORMATION | ||
| A 66-year-old female had watery stools with bright blood and mucus 15 to 30 times a day. The diarrhea was associated with 5/10 abdominal pain and was not associated with nausea, vomiting, fever or chills. She also had history of osteopenia, fibromuscular dysplasia and psoriasis. | ||
| GROSS DESCRIPTION | ||
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| The specimen consists of a partial colectomy specimen measuring 55.0 × 6.0 × 5.0 cm with attached appendix measuring 6.5 × 0.8 × 0.8 cm. The serosal surface of the colon is unremarkable. Upon cutting open the lumen, the mucosa surface shows focal mucosal hemorrhage. | The specimen consists of a portion of colon with rectum measuring 21.0 × 8.0 × 6.0 cm. The serosal surface is unremarkable. Upon cutting open the lumen, the mucosa surface shows hemorrhage and focal polypoid change. | |
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| HE, 4× | HE,10× | |
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| HE, 20× | HE, 4× | |
| Source: Department of Pathology, Creighton University Medical Center, Omaha, NE Microscopic photo: Zenggang Pan Discussion: Zenggang Pan | ||