Titlebook: Colorectal Surgery; Living Pathology in Mark Killingback Book 2006 Springer-Verlag New York 2006 Surgery.colorectal pathology.colorectal s

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Carcinoma of the Appendix colon” there was a 1.5cm ulcerated lesion, which on biopsy revealed moderately differentiated adenocarcinoma. A computerized tomography (CT) scan showed a mass related to the right colon, extending posteriorly into the psoas muscle (Figure 11.1). No metastatic disease was detected in the liver. The patient was referred for surgical treatment.

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ERUPT

Lipoma: Terminal Ileumsed as angina. Colonoscopy revealed diverticular disease of the sigmoid colon and a lobulated polyp protruding through the ileocecal valve. The polyp intermittently retracted from view, and examination beyond the ileocecal valve confirmed its attachment to the terminal ileum by a broad pedicle. Biop

abstemious

The Intruding Carcinoid. There were no gastrointestinal symptoms. Three hyperplastic polyps (3mm) were removed from the sigmoid (1) ascending colon (2). A polypoid lesion was noted in the partially open ileocecal valve, which was red and smooth. Attempts to biopsy this were unsuccessful. Endoscopy of 10–12cm of terminal i

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climax

Adenocarcinoma of the Jejunumod of 6 months the patient had suffered episodic abdominal pain of a colicky type and noticed the onset of fatigue and exertional dyspnea. Panendoscopy and colonoscopy soon after the onset of symptoms revealed no abnormality. These endoscopies were repeated 6 months later and again failed to find a

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Blind Pouch Syndrome After Bowel Resectionuction that had been preceded by some years of colicky abdominal pain, and during this period he was found to be anemic. At operation, a fibrous stricture, at the base of a Meckel’s diverticulum, was found to be causing the obstruction. This was resected with a side-to-side anastomosis, as the proxi

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Acute Appendicitis: Diagnosis at Colonoscopyof dilated small bowel. A gastrograffin enema indicated deformity of the ileocecal region. The patient’s condition settled and he was discharged from hospital and transferred for further investigations.

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Mucocele of the Appendixsymptoms. In the base of the cecum there was a smooth hemispherical swelling covered by normal mucosa (Figure 9.1). This was diagnosed as a mucocele of the appendix by the colonoscopist. A computerized tomography (CT) examination demonstrated that the lesion was continuous with the appendix, which w

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