Diagnostic Dilemmas in G.I. Pathology

Dr Anna Pulimood

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.

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

Case 3

• 61 year old lady with anemia and protein losing enteropathy.

• Upper G.I.endoscopy showed multiple gastric polyps

Case 4

• 42 year old male with abdominal pain and chronic diarrhea for 1 year

• Colonoscopy: Nodular terminal ileal mucosa; normal colonic mucosa

Ileal mucosa

Ileal mucosa

Cecal mucosa

Transverse colon mucosa

Rectal mucosa

Case 5

• 20 year old female• History of fever, vomiting and abdominal pain

• Colonoscopy: Narrowing and ulceration in terminal ileum. Nodularity of cecal mucosa.

Ileal biopsy

Ileal biopsy

Ileal biopsy

Ileal biopsy

Ileal biopsy

Ileal biopsy

Ileal biopsy

Ileal biopsy

Cecal biopsy

Cecal biopsy

Cecal biopsy

Cecal biopsy

Cecal biopsy

Transverse colon biopsy

Transverse colon biopsy

Descending colon biopsy

Descending colon biopsy

Rectosigmoid biopsy

Rectosigmoid biopsy

Case 6

• 42 year old lady with a left ovarian mass.• Total abdominal hysterectomy and bilateral

salpingoophorectomy• Appendix was normal at laparotomy, but

removed.

Case 7

• 61 year old man with several polyps in the rectosigmoid

Case 8

• 56 year old male with chronic diarrhea

• Nodularity of the ileum on colonoscopy