Pathology report

Macroscopic description:

Received an 8 cm long tubular structure, fibrin-covered and haemorrhagic, with an outer diameter varying from 0,5 cm to 1,1 cm. No apparent perforation on cut surfaces. The cut surface of the thickened tip is dominated by fat.

Microscopic description:

Sections from apex to base of appendix show mucosal ulcerations of varying size and up to intensive neutrophil invasion in all layers with impending perforation but conserved muscular layer in all sections. The outer surface of the appendix is covered by a thin layer of fibrin containing polymorphic granulocytes. Sections from indurated area at the apex show a mixture of normal adipocytes interspersed by haemorrhage, anucleated adipocytes and foamy histiocytes. No malignancy.

Conclusion

Acute appendicitis with a gangrenous epiploic appendage.

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