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Course
HCIS 140
Subject
Chemistry
Date
Dec 19, 2024
Pages
2
Uploaded by AmbassadorPowerFox28
Case ID: BS24-05244Patient: Isaac, RaymondMRN: 976674083Printing Department, Isaac, Raymond976674083M, 70 yrs, 10/31/1953Baptist Surgical Reports(Final result)BS24-05244Authorizing Provider:Lykes, Cecily Ellen, MDOrdering Provider:Lykes, Cecily Ellen, MDOrdering Location:Prisma Health Baptist HospitalCollected:07/04/2024 08:11 PMPathologist:Grant, Lawrence, MDReceived:07/05/2024 07:57 AMSpecimensALarge Intestine, Left/Descending Colon, descending colon/partial colectomy.Clinical InformationPerforated Descending/Sigmoid Colon with devitalized mesenteryGross feculant contamination of the abdomen1.Exploratory laparotomy with partial descending/sigmoid colectomy and primary side-by-side functional end-to-end anastomosis2. Diverting loop colostomy Final DiagnosisDescending/Sigmoid colon, partial colectomy:Diverticulosis with associated pericolonic acute inflammation/abscess and serosal fibrovascular adhesions.The margins of excision appear viable.Electronically signed by Grant, Lawrence, MD on 7/9/2024 at 5:11 PMGross DescriptionA. Large Intestine, Left/Descending Colon.Received in formalin labeled with the patient name, DOB, MRN, and "descending colon/partial colectomy." It consists of a segment of bowel with 2 stapled resection margins measuring 10.5 cm in length by 2.2 cm in diameter. The resection margins are shaved and submitted en face. The serosa is dusky with yellow-green, matted discoloration throughout and extending onto the mesentery. The bowel is opened longitudinally to reveal gray-tan, edematous and well folded mucosa. A focal area consistent with mucosal outpouching is noted and submitted. Representative sections are submitted.Summary:A1-A2: Resection margins en faceA3: Dusky, yellow-green serosaA4: Mucosal outpouchingsA5-A6: Representative bowelGrossed by: Ashley Johnson, PA (ASCP)Post-op DiagnosisBS24-05244Page: 1 of 2Printed: 7/9/2024 5:11 PMProcedure
Case ID: BS24-05244Patient: Isaac, RaymondMRN: 976674083Printing Department, Microscopic DescriptionA microscopic examination was performed. Please refer to the diagnosis section.DisclaimerUnless otherwise specified, formalin-fixed paraffin-embedded sections and all routine, IHC, or special stains are performed at PCI Laboratory, Greenville, SC 29605..Resulting Labs803-434-7770BCHPRISMA HEALTH BAPTIST, Taylor at Marion Street, COLUMBIA SC 29220BS24-05244Page: 2 of 2Printed: 7/9/2024 5:11 PM