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<p class="ql-align-justify">(1) Sections of the omentum show fibroadipose tissue exhibiting marked acute inflammatory changes, characterized by a dense infiltration of neutrophils, vascular congestion, and focal fibrinopurulent exudate. No evidence of specific granulomas. No evidence of atypia or malignancy.</p><p class="ql-align-justify">(2) Smear shows a dense population of neutrophils with some small lymphocytes as well as reactive mesothelial cells. No evidence of atypical or malignant cells.</p><p class="ql-align-justify"><br></p>
<p class="ql-align-justify">Acute abdomen and abdominal pain secondary to acute peritonitis, with intraoperative findings of approximately 1000cc of infected fluid collection, raising suspicion for primary peritonitis.</p>
<p>Two samples were submitted:</p><p class="ql-align-justify">1-Omental fragment: fatty tissue measured 13x4x1 cm.</p><p class="ql-align-justify">2- Fluid for cytology: 3 ml pale with pus, one smear was prepared and stained.</p>
<p><strong><em><u>(1) Omentum, excision:</u></em></strong></p><ul><li><strong>Suppurative inflammation.</strong></li><li><strong>Negative for specific granuloma.</strong></li><li><strong>Negative for malignancy.</strong></li></ul><p><br></p><p><strong><em><u>(2) Ascitic fluid, conventional cytology:</u></em></strong></p><ul><li><strong> Marked inflammatory changes.</strong></li><li><strong> Negative for malignant cells. </strong></li><li><strong>Category II according to The International System for Reporting Serous Fluid Cytology, ISRSFC.</strong></li></ul>
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