Qap (Anatomical Pathology) 

QAP Peer Review

AP100
Case History: F83 PR bleeding. Sigmoid colon biopsy.
Intended diagnosis: Ischemic colitis. Contributed by:MST
Code Diagnosis Comment Score
anonymous Ischaemic colitis (100%). Need to exclude irradiation-induced colitis clinically.  100
anonymous Ischaemic colitis, 100%. Nil  100
anonymous Ischemic colitis, 100% Irradiation colitis may show similar histology. Please check for any such history.  100
anonymous Ischaemic colitis (100%) Occasionally this condition may confuse with Crohn's disease or solitary ulcer syndrome in rectum. However, in this biopsy, there is no features to suggest Crohn's disease or solitary ulcer syndrome.  100
anonymous Ischemic colitis Clinical correlation and look for history of irradiation.  100
anonymous Erosions and granulation tissue. No definite viral inclusion nor parasite found in the section. DDx includes ischemic colitis, radiation colitis and viral infection. 100% Examine more sections for viral inclusion and parasite. Also do CMV, herpesvirus, fungal, Ziehl Neelsen, Giemsa and Gram stains to rule out infective agents.  70
anonymous Colon biopsy - Ulcer, chronic colitis of probable ischaemic etiology 100% Radiation injury has to be excluded. There is no amyloid seen. Infective agents such as CMV or ameoba are not seen. Features are not suggestive of IBD.  90
anonymous Non-specific ulcer (100%) No specific etiology can be detected in the given slide. No amoeba, viral inclusion or fungi are seen. Immunostaining for CMV may be useful. Differential diagnosis includes ischaemic ulcer, stercoral ulcer and bacterial infection. Suggest clinical, endoscopic and microbiological culture correlation.  70
anonymous Ischaemic colitis 100% nil  100
anonymous CHRONIC ISCHEMIC COLITIS 100% Nil  90
anonymous Ischaemic colitis 100% Need correlation with endoscopic findings  100
anonymous Ischaemic colitis. Probability : 100% Nil  100
anonymous Ischemic colitis 100% nil  100
anonymous Ischaemic Colitis, 100% Nil  100