diagnostic dilemmas in g.i. pathology by dr anna pulimood
TRANSCRIPT
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Diagnostic Dilemmas in G.I. Pathology
Dr Anna Pulimood
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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.
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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
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Case 3
• 61 year old lady with anemia and protein losing enteropathy.
• Upper G.I.endoscopy showed multiple gastric polyps
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Case 4
• 42 year old male with abdominal pain and chronic diarrhea for 1 year
• Colonoscopy: Nodular terminal ileal mucosa; normal colonic mucosa
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Ileal mucosa
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Ileal mucosa
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Cecal mucosa
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Transverse colon mucosa
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Rectal mucosa
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Case 5
• 20 year old female• History of fever, vomiting and abdominal pain
• Colonoscopy: Narrowing and ulceration in terminal ileum. Nodularity of cecal mucosa.
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Ileal biopsy
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Ileal biopsy
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Ileal biopsy
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Ileal biopsy
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Ileal biopsy
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Ileal biopsy
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Ileal biopsy
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Ileal biopsy
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Cecal biopsy
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Cecal biopsy
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Cecal biopsy
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Cecal biopsy
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Cecal biopsy
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Transverse colon biopsy
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Transverse colon biopsy
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Descending colon biopsy
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Descending colon biopsy
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Rectosigmoid biopsy
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Rectosigmoid biopsy
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Case 6
• 42 year old lady with a left ovarian mass.• Total abdominal hysterectomy and bilateral
salpingoophorectomy• Appendix was normal at laparotomy, but
removed.
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Case 7
• 61 year old man with several polyps in the rectosigmoid
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Case 8
• 56 year old male with chronic diarrhea
• Nodularity of the ileum on colonoscopy
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