Digestive Pathology

Clinical History A 60-year old male is admitted with jaundice, melena and abdominal distension. He has a past medical history of untreated Hepatitis C infection from previous intravenous drug use. Further questioning reveals a 9-month history of...

Clinical History An 85-year old male presented with urinary retention due to benign prostatic hypertrophy. On admission it was noted that he was jaundiced with cholestatic derangement of his liver function tests. He underwent a transurethral prostate...

Clinical History A 44-year-old man had a skin lesion on his back that grew slowly. At presentation at A&E several years later, he complained of bone pain, and had hepatomegaly and a pleural effusion. He died shortly afterwards. Pathology The specimen...

Clinical History A 60-year-old man head a history of four episodes of severe gripping abdominal pain during the previous year, each lasting two hours and associated with meals. He presented with a similar attack associated with vomiting and fever. This...

Clinical History A 50-year old male underwent a colonoscopy after testing positive for fecal occult blood during a screening test. Colonoscopy revealed a pedunculated tumor in the descending colon, which was later resected. Pathology This specimen is the...

Clinical History An 82-year old female presents with an episode of melena (dark tarry feces). She had a 6-month history of dyspepsia and nausea. Recently she had noted weight loss and early satiety. Soon after admission she had a large melena episode and...

Clinical History A 5-year old male presents with a history of constipation since birth. A barium enema showed a constricted rectum with a dilated sigmoid colon. Surgical resection of constricted section of bowl was attempted but the patient died during...

Clinical History A 54-year-old man presented to hospital with 12 hours of severe colicky pain, nausea and vomiting. On history, he was noted to have had a 3-year history of intermittent right subcostal pain for which he had not seen a doctor. He was...

Clinical History A 66-year-old woman suffered sudden onset of severe colicky central abdominal pain, somewhat relieved by drawing up her knees. She passed a stool containing mucus and blood ("like redcurrant jelly"). On examination, there was a...

Clinical History This elderly patient had a long history of "indigestion". He collapsed and died after a massive stoke. Pathology The specimen is a 2cm coronal slice of tissue, which incorporates a portion of stomach diaphragm, liver and...

Clinical History A middle-aged woman was investigated for recurrent bouts of epigastric pain. Endoscopy failed to reveal any peptic ulceration. A cholangiogram demonstrated a non-functioning gallbladder. She died from a myocardial infarction...

Clinical History A 36-year old female was admitted to hospital with a 3-week history of bloody diarrhea and lower abdominal pain. Further history taking revealed 4 similar episodes of diarrhea and abdominal pain of over the past 7 years. Sigmoidoscopy...

Clinical History This 63-year old man had several previous admissions to hospital for bleeding from oesophageal varices. On admission he was noted to be mildly febrile, jaundiced with severe flapping tremor of his hands. He had a constellation of other...

Clinical History No clinical details are available. Pathology A slice of liver reveals the characteristic yellow/grey and greasy appearance on one side. On the other side the appearance is restricted to the outer margin whilst the central area displays...

Clinical History A 70-year old man was admitted for investigation of muscular weakness and the passage of large amounts of mucus per rectum. The patient was found to be hypokalemic. A tumor of sigmoid colon was discovered and later resected. Pathology A...

Clinical History There are no details of the clinical history. Pathology The specimens from this case consists of two segments of sigmoid colon. The mucosa of the bowel is studded with numerous sessile and pedunculated partially pigmented polyps up to 1...