PMC6354680_01
Abdominal CT demonstrating collection of air and debris. Area of interest is circled in red.
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An abdominal and pelvis CT with IV contrast revealed a small collection of air and debris adjacent to a loop of mildly thick-walled small bowel in the left lower quadrant measuring roughly 2.3 x 1.9 x 2.0 cm3, with a small adjacent focus of apparent extraluminal air (Fig. 1).
H&E 1x image of the small bowel diverticulum (top of image) pouching out from the bowel lumen (bottom of image).
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Pathology revealed the serosal surface of the jejunum was notable for a 2.5 cm region of protrusion associated with congestion, exudation and possible hemorrhage; when the resected segment of small bowel was opened, there was a prominent fecal filled diverticulum corresponding to the focus of serosal protrusion (Figs 2-4).
H&E 40x image of the mucosal lining of the diverticulum and ingested food debris in the lumen. Only the mucosa is present in the wall, which classifies this as an acquired rather than congenital.
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Pathology revealed the serosal surface of the jejunum was notable for a 2.5 cm region of protrusion associated with congestion, exudation and possible hemorrhage; when the resected segment of small bowel was opened, there was a prominent fecal filled diverticulum corresponding to the focus of serosal protrusion (Figs 2-4).
H&E 100x image demonstrating an area of ulceration in the diverticulum with fibrinopurulent exudates occupying most of the right side of the image and food debris in the lumen at the upper left.
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Pathology revealed the serosal surface of the jejunum was notable for a 2.5 cm region of protrusion associated with congestion, exudation and possible hemorrhage; when the resected segment of small bowel was opened, there was a prominent fecal filled diverticulum corresponding to the focus of serosal protrusion (Figs 2-4).