Pancreas Pathology Lab, Case 2
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Pancreas Pathology Lab, Case 2
• 47-year-old alcoholic man with severe epigastric pain radiating to the back.
Acute PancreatitisThe pancreas is bisected along its longitudinal axis.
Many foci of yellow-white necrosis are scattered throughout the head, body, and tail.
A – Fat necrosisB- Splenic vein andthrombus
Section (A) reveals Acute Pancreatitis. The section shows amorphous debris (arrow) that formed after necrosis of acini. The few remaining acini (*) are separated by infiltrating neutrophils.
Section B reveals normal pancreas for comparison
Acute PancreatitisAn autopsy specimen consisting of the stomach, spleen, pancreas, and adjacent fat reveals acute inflammation. The pancreas is swollen and hyperemic. Focal areas of green necrosis are present. Small foci of bright yellow, fat necrosis are present. The stomach is folded back so as to reveal its posterior wall and the pancreas.
A – StomachB – SpleenC – FatD - Pancreas
An intraoperative photograph reveals an acute hemorrhagic pancreatitis. The fat of the pancreas, colon, and greater omentum is necrotic and hemorrhagic
Acute Hemorrhagic PancreatitisA surgical specimen of the body and tail of the pancreas reveals acute, hemorrhagic necrosis.
Describe the gross findings