View
111
Download
6
Category
Preview:
Citation preview
Diagnostic Dilemmas in G.I. Pathology
Dr Anna Pulimood
Case 1
24 year old male. Post gastrojejunostomy for gastric ulcer with
dyspeptic symptoms. On endoscopy, edema and irregularity at the
anastomotic margin. Biopsies from the anastomotic margin.
Case 2
• 56 year old male with chronic liver disease• Upper G.I. endoscopy showed small
esophageal varices and patchy mild erythema in the body and antrum
• Gastric biopsies
Case 3
• 61 year old lady with anemia and protein losing enteropathy.
• Upper G.I.endoscopy showed multiple gastric polyps
Case 4
• 42 year old male with abdominal pain and chronic diarrhea for 1 year
• Colonoscopy: Nodular terminal ileal mucosa; normal colonic mucosa
Ileal mucosa
Ileal mucosa
Cecal mucosa
Transverse colon mucosa
Rectal mucosa
Case 5
• 20 year old female• History of fever, vomiting and abdominal pain
• Colonoscopy: Narrowing and ulceration in terminal ileum. Nodularity of cecal mucosa.
Ileal biopsy
Ileal biopsy
Ileal biopsy
Ileal biopsy
Ileal biopsy
Ileal biopsy
Ileal biopsy
Ileal biopsy
Cecal biopsy
Cecal biopsy
Cecal biopsy
Cecal biopsy
Cecal biopsy
Transverse colon biopsy
Transverse colon biopsy
Descending colon biopsy
Descending colon biopsy
Rectosigmoid biopsy
Rectosigmoid biopsy
Case 6
• 42 year old lady with a left ovarian mass.• Total abdominal hysterectomy and bilateral
salpingoophorectomy• Appendix was normal at laparotomy, but
removed.
Case 7
• 61 year old man with several polyps in the rectosigmoid
Case 8
• 56 year old male with chronic diarrhea
• Nodularity of the ileum on colonoscopy
Recommended