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Pathology Report

Benjamin Engelhart underwent an appendectomy for acute appendicitis. The pathology report found necrotizing acute appendicitis in the appendix specimen. Microscopic examination showed evidence of necrosis in the appendix tissue, confirming the diagnosis of necrotizing acute appendicitis.

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Reshma Francis
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745 views

Pathology Report

Benjamin Engelhart underwent an appendectomy for acute appendicitis. The pathology report found necrotizing acute appendicitis in the appendix specimen. Microscopic examination showed evidence of necrosis in the appendix tissue, confirming the diagnosis of necrotizing acute appendicitis.

Uploaded by

Reshma Francis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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PATHOLOGY REPORT

Patient Name: Benjamin Engelhart

Hospital No.: 112592 DOB: 10/05/ AGE: 46 SEX: Male

Pathology Report No.: 10-S-9044 Date of Surgery: 11/14/

Admitting Physician: Bernard Kester, MD, General Surgery

Preoperative Diagnosis: Acute appendicitis.

Postoperative Diagnosis: Necrotizing acute appendicitis.

Specimen Received: Appendix, other than incidental

Date Received: 11/14/

Date Reported: 11/16/

CLINICAL HISTORY: Acute appendicitis.

GROSS DESCRIPTION: The specimen is received in formalin and labeled with patient’s name,
patient’s ID number, and “appendix.” It consists of an appendix measuring 6 x 1.5 x 1.5 cm. There is
periappendiceal fat attached to it which measures 6 x 4 x 1 cm. The serosal surface is hemorrhagic. Upon
opening the appendix, there is purulent exudative material. The wall thickness measures 0.3 cm.
Representative sections are submitted in one cassette.

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MICROSCOPIC DESCRIPTION: Performed.

MICROSCOPIC DIAGNOSIS: Appendix appendectomy: Necrotizing acute appendicitis.

(continued)

PATHOLOGY REPORT

Patient Name: Benjamin Engelhart


Patient ID: 112592
Date of Surgery: 11/14/
Page 2
ICD DIAGNOSIS CODE: 540.9

CPT PROCEDURAL CODE: A-88304

___________________
Georgia Tamayo, MD

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