Diagnosis:
Invagination of the small intestines with Peutz Jeghers polyps.
Description:
Strongly bowed resection of the bowel, closed on one side. Here the surface of the bowel is smooth, shiny and shows injection of vessels. Around the middle of the preparation the smooth surfaces stop. The rest of the preparation ends blind and is covered with white membranes; the organ wall below is looks dark red/ brown.
Additional finding:
On the surgical closed blind end we found as a leading point a polyp of 5 x 3.5 x 2.5 cm. Broad based, no stem with polypus surface. The mucous structure of the bowel wall is flattened and dark red. Histological we saw fresh hemorrhagic infarctions with severe necrosis, peritonitis and massive bacterial cells.
Clinical presentation:
12 year old female patient, since 3 days colic like abdominal pain with emesis. Ileus after invagination. Peutz-Jeghers-Syndrom.
Commentary:
In the childhood polyps of the small bowel can lead to ileus and invagination.
Source: ©PathoPic
