Sections from both submitted specimens show focally ulcerated mucosa with perforation and related dense inflammatory reaction extending deep along the thickness of intestine till covering serosa with related serosal vascular congestion. Margins of excision look viable. Exclusion of underlying enteric fever is recommended. No evidence of malignancy.
Resection and anastomosis for a small intestinal perforation located 60 cm from the duodenojejunal junction, with an additional biopsy taken from the edge of the perforation.
Two specimens were received:
1- Segmental resection: Intestinal segment measuring 10.5 cm in length, with attached fat measuring 5.5 cm. Examination revealed a perforation site measuring 2 × 1.3 cm, located 5.5 cm and 3.5 cm from the far and near margins, respectively. No gross masses were detected.
2- Biopsy from the edge of the perforation: A single piece of soft tissue measuring 1.5 × 1.3 × 1 cm, totally embedded.
Small intestinal perforation, segmental resection: