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<p class="ql-align-justify">Submitted soft tissue fragments reveals extensive areas of severe, active acute and chronic inflammation. The sections are predominantly composed of a dense inflammatory cell infiltrate rich in neutrophils admixed with lymphocytes, plasma cells, and histiocytes. This dense infiltrate is enmeshed within a background of abundant fibrino-purulent exudate, localized hemorrhage, and extensive necrotic debris displaying prominent nuclear karyorrhexis. Intact, specialized organ architecture (such as well-formed bowel mucosa) is not readily identifiable; rather, the tissue primarily represents an inflammatory mass or organizing exudate. There is no evidence of granulomas, viral inclusion bodies, dysplasia, or malignancy in the examined sections.</p>
<p class="ql-align-justify">History of Behcet's disease presenting with severe abdominal complications, including peritonitis, multiloculated infected intra-abdominal fluid collections, active enterocolitis, and a suspected leak from an ileostomy site.</p>
<p>Soft tissue fragments collectively measured 2.5x2x1 cm, totally embedded.</p>
<p><strong><em><u>Soft tissue (intra-abdominal contents), biopsy:</u></em></strong></p><ul><li class="ql-align-justify"><strong>Extensive acute inflammation with marked fibrino-purulent exudate, hemorrhage, and necrosis consistent with abscess formation (peritonitis with localized collection).</strong></li><li class="ql-align-justify"><strong>Negative for specific granulomas. </strong></li><li class="ql-align-justify"><strong>Negative for malignancy.</strong></li></ul>
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