SlideShare ist ein Scribd-Unternehmen logo
1 von 22
This is the normal appearance of the appendix against the background o
the cecum.
Fig 1. The Vermiform Appendix in Subhepatic Position (Red ),
The Vermiform Appendix in Peritoneal Fossa
A picture showing again appendix as content of hernia   Amyand's
                                                        hernia
Situs Inversus: Gross natural color opened peritoneal cavity showing cecum and
appendix on left side
Acute appendicitis with yellow to tan exudate and hyperemia, including the
periappendiceal fat superiorly, rather than a smooth, glistening pale tan serosal
surface.
Long impacted worm bolus with transerosal visbility in a child who had
incidental finding of worm inside appendix.
Appendiceal ascariasis in children
Gross photograph of the resected appendix measuring 3.8 cm in length; arrow
showing mucinous material at the outer surface, predominantly around the tip.
Mucocele:
.




Appendiceal Mucocele Detected under Treatment of Ulcerative Colitis
A large quantity of viscous liquid was present in its lumen.s
Figure 1: Dumbbell distended appendix.




Dumbbell distended appendix. Villous Mucinous Cystadenoma of the Appendix in a
Postmenopausal Woman
Appendix: Adenocarcinoma: Gross colloid lesion
Carcinoid tumour of the appendix in children, solid, moderately hard, elastic and yellowish
mass on the appendix tip, with diameter 1,0 cm.
Photograph showing the two parts of bifid appendix: the shorter and
the longer limbs.
THANKYOU

SPEAKER –DR. NARMADA PRASAD TIWARI
Metastatic Malignant Melanoma Presenting as an Appendiceal Mucocele,
lobulated green/brown partially hemorrhagic, and pigmented tumor occupy the
proximal portion of the appendiceal lumen.
Figure 3
Gross finding of appendix. Appendix measures 7 1.5 cm in dimensions. The serosal surface of appendix shows fibroadipose
adhesion. The mucosal surface of cecum shows erythematous appearance with fibrosis.




Appendix measures 7×1.5 cm in dimensions. The serosal surface of appendix shows
fibroadipose adhesion. The mucosal surface of cecum shows erythematous
appearance with fibrosis.
1   Proximal one-third,
    close to surgical
    margin: one cross-
    section. If tumor is
    present in the
    specimen, paint the
    surgical margin
    with India ink and
    take an additional
    section from it

2   Mid one-third: one
    cross-section

3   Distal one-third:
    one longitudinal
    section

Weitere ähnliche Inhalte

Was ist angesagt?

Liver lesions
Liver lesionsLiver lesions
Liver lesions
airwave12
 
Palpation of spleen final
Palpation of spleen  finalPalpation of spleen  final
Palpation of spleen final
Kurian Joseph
 

Was ist angesagt? (20)

LIVER PATHOLOGY
LIVER PATHOLOGYLIVER PATHOLOGY
LIVER PATHOLOGY
 
grossing of Colorectal specimens
grossing of Colorectal specimensgrossing of Colorectal specimens
grossing of Colorectal specimens
 
Rif mass
Rif massRif mass
Rif mass
 
Intestinal polyps
Intestinal polypsIntestinal polyps
Intestinal polyps
 
Carcinoma colon
Carcinoma colonCarcinoma colon
Carcinoma colon
 
Intestinal polyps
Intestinal polypsIntestinal polyps
Intestinal polyps
 
Liver lesions
Liver lesionsLiver lesions
Liver lesions
 
Whipple's specimen grossing
Whipple's  specimen grossingWhipple's  specimen grossing
Whipple's specimen grossing
 
Soft Tissue Tumors
Soft Tissue TumorsSoft Tissue Tumors
Soft Tissue Tumors
 
Approach to splenomegaly
Approach to splenomegalyApproach to splenomegaly
Approach to splenomegaly
 
Pre malignant lesions of skin
Pre malignant lesions of skinPre malignant lesions of skin
Pre malignant lesions of skin
 
Abdominal tuberculosis
Abdominal tuberculosisAbdominal tuberculosis
Abdominal tuberculosis
 
Liver biopsy interpretation
Liver biopsy interpretation   Liver biopsy interpretation
Liver biopsy interpretation
 
Palpation of spleen final
Palpation of spleen  finalPalpation of spleen  final
Palpation of spleen final
 
Barrett's Oesophagus for the Histopathologist.
 Barrett's Oesophagus for the Histopathologist. Barrett's Oesophagus for the Histopathologist.
Barrett's Oesophagus for the Histopathologist.
 
Abdiminal tuberculosis
Abdiminal tuberculosisAbdiminal tuberculosis
Abdiminal tuberculosis
 
Benign tumors of the Liver
Benign tumors of the LiverBenign tumors of the Liver
Benign tumors of the Liver
 
Serrated lesions of colon and rectum
Serrated lesions of colon and rectumSerrated lesions of colon and rectum
Serrated lesions of colon and rectum
 
Diseases of Spleen
Diseases of SpleenDiseases of Spleen
Diseases of Spleen
 
Open right hemicolectomy/ step by step/ operative surgery
Open right hemicolectomy/ step by step/ operative surgeryOpen right hemicolectomy/ step by step/ operative surgery
Open right hemicolectomy/ step by step/ operative surgery
 

Andere mochten auch

Genetics and internal medicine (1& 2& 3)
Genetics and internal medicine  (1& 2& 3) Genetics and internal medicine  (1& 2& 3)
Genetics and internal medicine (1& 2& 3)
Ahmed Elshebiny
 
Histokinetic by dr narmada
Histokinetic by  dr narmadaHistokinetic by  dr narmada
Histokinetic by dr narmada
Narmada Tiwari
 
Common pitfalls in bone marrow biopsy based diagnostic approach
Common pitfalls in bone marrow biopsy based diagnostic approachCommon pitfalls in bone marrow biopsy based diagnostic approach
Common pitfalls in bone marrow biopsy based diagnostic approach
spa718
 
Human sleep and growth.2 ppt
Human sleep and growth.2 pptHuman sleep and growth.2 ppt
Human sleep and growth.2 ppt
Ahmed Elshebiny
 
Hematology (1) The blood and bone marrow, abnormal blood count, anemias: an o...
Hematology (1) The blood and bone marrow, abnormal blood count, anemias: an o...Hematology (1) The blood and bone marrow, abnormal blood count, anemias: an o...
Hematology (1) The blood and bone marrow, abnormal blood count, anemias: an o...
Ahmed Elshebiny
 
Hypoplastic bone marrow syndromes
Hypoplastic bone marrow syndromesHypoplastic bone marrow syndromes
Hypoplastic bone marrow syndromes
Ahmed Elshebiny
 

Andere mochten auch (20)

Genetics and internal medicine (1& 2& 3)
Genetics and internal medicine  (1& 2& 3) Genetics and internal medicine  (1& 2& 3)
Genetics and internal medicine (1& 2& 3)
 
Mds
MdsMds
Mds
 
GrosS LARGE BOWEL DR N P TIWARI
GrosS LARGE BOWEL DR N P TIWARIGrosS LARGE BOWEL DR N P TIWARI
GrosS LARGE BOWEL DR N P TIWARI
 
Histokinetic by dr narmada
Histokinetic by  dr narmadaHistokinetic by  dr narmada
Histokinetic by dr narmada
 
SYNOVIAL CELL SARCOMA DR NARMADA
SYNOVIAL CELL SARCOMA DR NARMADASYNOVIAL CELL SARCOMA DR NARMADA
SYNOVIAL CELL SARCOMA DR NARMADA
 
Hematological Malignancies 1/2
Hematological Malignancies 1/2Hematological Malignancies 1/2
Hematological Malignancies 1/2
 
Pancytopenia among pediatric pateint
Pancytopenia among pediatric pateint Pancytopenia among pediatric pateint
Pancytopenia among pediatric pateint
 
Immunology 1, 2, 3
Immunology 1, 2, 3Immunology 1, 2, 3
Immunology 1, 2, 3
 
Myelodysplastic syndrome by dr narmada
Myelodysplastic syndrome by dr narmadaMyelodysplastic syndrome by dr narmada
Myelodysplastic syndrome by dr narmada
 
Laboratory diagnosis of malaria
Laboratory diagnosis of malariaLaboratory diagnosis of malaria
Laboratory diagnosis of malaria
 
Common pitfalls in bone marrow biopsy based diagnostic approach
Common pitfalls in bone marrow biopsy based diagnostic approachCommon pitfalls in bone marrow biopsy based diagnostic approach
Common pitfalls in bone marrow biopsy based diagnostic approach
 
Human sleep and growth.2 ppt
Human sleep and growth.2 pptHuman sleep and growth.2 ppt
Human sleep and growth.2 ppt
 
Semen analysis 2012 narmada
Semen analysis 2012 narmadaSemen analysis 2012 narmada
Semen analysis 2012 narmada
 
Eosinophils in lymph node
Eosinophils in lymph nodeEosinophils in lymph node
Eosinophils in lymph node
 
pancytopenia in children
pancytopenia in childrenpancytopenia in children
pancytopenia in children
 
Mpn
MpnMpn
Mpn
 
Hematology (1) The blood and bone marrow, abnormal blood count, anemias: an o...
Hematology (1) The blood and bone marrow, abnormal blood count, anemias: an o...Hematology (1) The blood and bone marrow, abnormal blood count, anemias: an o...
Hematology (1) The blood and bone marrow, abnormal blood count, anemias: an o...
 
processing of bone marrow trephine biopsy
processing of bone marrow trephine biopsyprocessing of bone marrow trephine biopsy
processing of bone marrow trephine biopsy
 
Acute leukemia
Acute leukemia Acute leukemia
Acute leukemia
 
Hypoplastic bone marrow syndromes
Hypoplastic bone marrow syndromesHypoplastic bone marrow syndromes
Hypoplastic bone marrow syndromes
 

Ähnlich wie appendix gross

Presentation1.pptx imaging of the peritoneum and mesentry.
Presentation1.pptx imaging of the peritoneum and mesentry.Presentation1.pptx imaging of the peritoneum and mesentry.
Presentation1.pptx imaging of the peritoneum and mesentry.
Abdellah Nazeer
 
Special path image
Special path   imageSpecial path   image
Special path image
kaziomer
 
Presentation1.pptx, ultrasound examination of the appendix.
Presentation1.pptx, ultrasound examination of the appendix.Presentation1.pptx, ultrasound examination of the appendix.
Presentation1.pptx, ultrasound examination of the appendix.
Abdellah Nazeer
 
Benign liver lesions
Benign liver lesionsBenign liver lesions
Benign liver lesions
airwave12
 
Intra abdominal cysts in children
Intra abdominal cysts in childrenIntra abdominal cysts in children
Intra abdominal cysts in children
airwave12
 
Secondary Peritoneal Disease
Secondary Peritoneal DiseaseSecondary Peritoneal Disease
Secondary Peritoneal Disease
Naglaa Mahmoud
 
Presentation1.pptx, radiological imaging of small bowel disease.
Presentation1.pptx, radiological imaging of small bowel disease.Presentation1.pptx, radiological imaging of small bowel disease.
Presentation1.pptx, radiological imaging of small bowel disease.
Abdellah Nazeer
 

Ähnlich wie appendix gross (20)

Presentation1.pptx imaging of the peritoneum and mesentry.
Presentation1.pptx imaging of the peritoneum and mesentry.Presentation1.pptx imaging of the peritoneum and mesentry.
Presentation1.pptx imaging of the peritoneum and mesentry.
 
Special path image
Special path   imageSpecial path   image
Special path image
 
The Vermiform Appendix.pptx
The Vermiform Appendix.pptxThe Vermiform Appendix.pptx
The Vermiform Appendix.pptx
 
Presentation1.pptx, ultrasound examination of the appendix.
Presentation1.pptx, ultrasound examination of the appendix.Presentation1.pptx, ultrasound examination of the appendix.
Presentation1.pptx, ultrasound examination of the appendix.
 
Benign liver lesions
Benign liver lesionsBenign liver lesions
Benign liver lesions
 
Pleomorphic adenoma
Pleomorphic adenomaPleomorphic adenoma
Pleomorphic adenoma
 
Intra abdominal cysts in children
Intra abdominal cysts in childrenIntra abdominal cysts in children
Intra abdominal cysts in children
 
small_bowel_tumrs.pptx
small_bowel_tumrs.pptxsmall_bowel_tumrs.pptx
small_bowel_tumrs.pptx
 
Malignant tumors of esophagus
Malignant tumors of esophagusMalignant tumors of esophagus
Malignant tumors of esophagus
 
Imaging in Appendicitis
Imaging in AppendicitisImaging in Appendicitis
Imaging in Appendicitis
 
Secondary Peritoneal Disease
Secondary Peritoneal DiseaseSecondary Peritoneal Disease
Secondary Peritoneal Disease
 
Emergent pediatric us what every radiologist should know
Emergent pediatric us what every radiologist should knowEmergent pediatric us what every radiologist should know
Emergent pediatric us what every radiologist should know
 
Presentation1.pptx, radiological imaging of small bowel disease.
Presentation1.pptx, radiological imaging of small bowel disease.Presentation1.pptx, radiological imaging of small bowel disease.
Presentation1.pptx, radiological imaging of small bowel disease.
 
Umbilical hernia by Dr. kiran maindale
Umbilical hernia by Dr. kiran maindaleUmbilical hernia by Dr. kiran maindale
Umbilical hernia by Dr. kiran maindale
 
Cystic masses of neck
Cystic masses of neckCystic masses of neck
Cystic masses of neck
 
Pleomorphic adenoma of the buccal salivary gland
Pleomorphic adenoma of the buccal salivary glandPleomorphic adenoma of the buccal salivary gland
Pleomorphic adenoma of the buccal salivary gland
 
Anal & Perianal diseases
Anal & Perianal diseases   Anal & Perianal diseases
Anal & Perianal diseases
 
Non surgical mimics of appendicitis on imaging
Non surgical mimics of appendicitis on imagingNon surgical mimics of appendicitis on imaging
Non surgical mimics of appendicitis on imaging
 
Emergency Ultrasound Course -Lecture 04 -Acute Appendicitis -Part 2
Emergency Ultrasound Course -Lecture 04 -Acute Appendicitis -Part 2Emergency Ultrasound Course -Lecture 04 -Acute Appendicitis -Part 2
Emergency Ultrasound Course -Lecture 04 -Acute Appendicitis -Part 2
 
Inguinal hernia
Inguinal herniaInguinal hernia
Inguinal hernia
 

Mehr von Narmada Tiwari (9)

Soft tissue tumor
Soft tissue tumorSoft tissue tumor
Soft tissue tumor
 
CBC Histogram DR NARMADA PRASAD TIWARI
 CBC Histogram DR NARMADA PRASAD TIWARI CBC Histogram DR NARMADA PRASAD TIWARI
CBC Histogram DR NARMADA PRASAD TIWARI
 
Bone tumour seminar ,ewing sarcoma, chordoma,
Bone tumour seminar ,ewing sarcoma, chordoma,Bone tumour seminar ,ewing sarcoma, chordoma,
Bone tumour seminar ,ewing sarcoma, chordoma,
 
Bone tumours by dr narmada prasad tiwari
Bone tumours by dr narmada prasad tiwariBone tumours by dr narmada prasad tiwari
Bone tumours by dr narmada prasad tiwari
 
NAAT IN BLOOD BANKING
NAAT IN BLOOD BANKINGNAAT IN BLOOD BANKING
NAAT IN BLOOD BANKING
 
Small round cell_tumor_DR NARMADA
Small round cell_tumor_DR NARMADASmall round cell_tumor_DR NARMADA
Small round cell_tumor_DR NARMADA
 
Acute lymphoblastic leukemia dr narmada
Acute lymphoblastic leukemia dr narmadaAcute lymphoblastic leukemia dr narmada
Acute lymphoblastic leukemia dr narmada
 
Thalassemia.by dr narmada
Thalassemia.by dr narmadaThalassemia.by dr narmada
Thalassemia.by dr narmada
 
Tumour markers by dr narmada
Tumour markers by dr narmadaTumour markers by dr narmada
Tumour markers by dr narmada
 

Kürzlich hochgeladen

1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
QucHHunhnh
 
The basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxThe basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptx
heathfieldcps1
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
kauryashika82
 

Kürzlich hochgeladen (20)

Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy Consulting
 
Magic bus Group work1and 2 (Team 3).pptx
Magic bus Group work1and 2 (Team 3).pptxMagic bus Group work1and 2 (Team 3).pptx
Magic bus Group work1and 2 (Team 3).pptx
 
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdfUGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
 
Dyslexia AI Workshop for Slideshare.pptx
Dyslexia AI Workshop for Slideshare.pptxDyslexia AI Workshop for Slideshare.pptx
Dyslexia AI Workshop for Slideshare.pptx
 
Micro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdfMicro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdf
 
Third Battle of Panipat detailed notes.pptx
Third Battle of Panipat detailed notes.pptxThird Battle of Panipat detailed notes.pptx
Third Battle of Panipat detailed notes.pptx
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
 
Spatium Project Simulation student brief
Spatium Project Simulation student briefSpatium Project Simulation student brief
Spatium Project Simulation student brief
 
Python Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxPython Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docx
 
SOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning PresentationSOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning Presentation
 
The basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxThe basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptx
 
Food safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdfFood safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdf
 
How to Create and Manage Wizard in Odoo 17
How to Create and Manage Wizard in Odoo 17How to Create and Manage Wizard in Odoo 17
How to Create and Manage Wizard in Odoo 17
 
Unit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxUnit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptx
 
Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptx
 
ICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptx
 
Making communications land - Are they received and understood as intended? we...
Making communications land - Are they received and understood as intended? we...Making communications land - Are they received and understood as intended? we...
Making communications land - Are they received and understood as intended? we...
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
 
Unit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxUnit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptx
 
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
 

appendix gross

  • 1.
  • 2. This is the normal appearance of the appendix against the background o the cecum.
  • 3.
  • 4. Fig 1. The Vermiform Appendix in Subhepatic Position (Red ),
  • 5. The Vermiform Appendix in Peritoneal Fossa
  • 6. A picture showing again appendix as content of hernia Amyand's hernia
  • 7. Situs Inversus: Gross natural color opened peritoneal cavity showing cecum and appendix on left side
  • 8. Acute appendicitis with yellow to tan exudate and hyperemia, including the periappendiceal fat superiorly, rather than a smooth, glistening pale tan serosal surface.
  • 9.
  • 10. Long impacted worm bolus with transerosal visbility in a child who had incidental finding of worm inside appendix.
  • 12. Gross photograph of the resected appendix measuring 3.8 cm in length; arrow showing mucinous material at the outer surface, predominantly around the tip.
  • 14. . Appendiceal Mucocele Detected under Treatment of Ulcerative Colitis A large quantity of viscous liquid was present in its lumen.s
  • 15. Figure 1: Dumbbell distended appendix. Dumbbell distended appendix. Villous Mucinous Cystadenoma of the Appendix in a Postmenopausal Woman
  • 17. Carcinoid tumour of the appendix in children, solid, moderately hard, elastic and yellowish mass on the appendix tip, with diameter 1,0 cm.
  • 18. Photograph showing the two parts of bifid appendix: the shorter and the longer limbs.
  • 20. Metastatic Malignant Melanoma Presenting as an Appendiceal Mucocele, lobulated green/brown partially hemorrhagic, and pigmented tumor occupy the proximal portion of the appendiceal lumen.
  • 21. Figure 3 Gross finding of appendix. Appendix measures 7 1.5 cm in dimensions. The serosal surface of appendix shows fibroadipose adhesion. The mucosal surface of cecum shows erythematous appearance with fibrosis. Appendix measures 7×1.5 cm in dimensions. The serosal surface of appendix shows fibroadipose adhesion. The mucosal surface of cecum shows erythematous appearance with fibrosis.
  • 22. 1 Proximal one-third, close to surgical margin: one cross- section. If tumor is present in the specimen, paint the surgical margin with India ink and take an additional section from it 2 Mid one-third: one cross-section 3 Distal one-third: one longitudinal section