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<p class="ql-align-justify">Sections from the perforated area show ulceration of small intestinal mucosa with related transmural infiltration by lymphocytes, plasma cells, macrophages, and neutrophils reaching to the serosal covering, with related vascular congestion. Resection margins are viable but inflamed. Lymph node show chronic non specific lymphadenitis, free of metastases 0/9. No evidence of specific granulomas. No evidence of malignancy. </p>
<p>Lapaeotomy for acute abdomen. History of TB.</p>
<p class="ql-align-justify">Small intestinal segment measured 18 cm long with attached mesentry, showing perforated wall in an area of 1.8 cm. Careful inspection did not reveal any gross masses or ulcerations. Multiple lymph nodes were dissected largest is 0.4 cm.</p>
<p><strong><em><u>Small intestinal perforation, segmental resection: </u></em></strong></p><ul><li>Inflammatory perforation with related peritonitis.</li><li>Negative for specific granulomas.</li><li>Negative for malignancy.</li></ul>
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