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

 
 

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.
     
 
 

HE, 4

HE,10

 
 

HE, 20

HE, 4

     
 

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Microscopic photo: Zenggang Pan

Discussion: Zenggang Pan