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Type: |
| Gross |
| Organ/System: |
| Alimentary tract |
| Description: |
| ALIMENTARY TRACT: Small intestine: Shock: Gross in situ excellent example of gangrenous necrosis elderly female with myelofibrosis neutropenia anemia thrombocytopenia developed infection and shock
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Urinary tract |
| Description: |
| URINARY TRACT: Kidney: Renal Cell Carcinoma: Gross natural color shock kidney with mass lesion at one pole this man had a carcinoma in the opposite kidney resected some years previous no metastases at autopsy developed miliary tuberculosis with tuberculous meningitis died with peritonitis secondary
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Nervous system |
| Description: |
| NERVOUS SYSTEM: Brain: Infarcts Multiple Acute: Gross natural color external view showing cortical petechial hemorrhages case of tetralogy of Fallot 16 days postoperative 8mo male lesions due to shock probably
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Urinary tract |
| Description: |
| URINARY TRACT: Kidney: Ischemia: Gross natural color cut surface of kidney showing dark red medullary pyramids and light red cortex rather typical appearance shock kidney case of trauma with terminal PTE
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Heart |
| Description: |
| HEART: Verrucous Nonbacterial Endocarditis: Gross natural color vegetation on anterior leaflet mitral valve quite good lesion 79YO BF with 28% body surface burn septic shock Enterobacter cloacae and Pseudomonas aeruginosa
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Alimentary tract |
| Description: |
| ALIMENTARY TRACT: Stomach: Ischemia: Gross natural color rather good example with ischemic changes primarily in fundic portion and focal hemorrhagic lesions in duodenum very typical for shock morbid obesity Pickwickian syndrome with rapid pulmonary failure due to uncertain cause
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Alimentary tract |
| Description: |
| ALIMENTARY TRACT: Small intestine: Ischemia: Gross natural color typical focal hemorrhagic mucosal lesions associated with shock case of morbid obesity with rapid pulmonary failure due to uncertain cause
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Alimentary tract |
| Description: |
| ALIMENTARY TRACT: Small intestine: Ischemia: Gross natural color rather close-up view of ischemia with hemorrhagic tips of villi very good example of shock change septic shock in 1 month old infant
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Heart |
| Description: |
| HEART: Tuberculous Pericarditis: Gross fixed tissue typical lesion shown in two horizontal sections of ventricles there are focal subendocardial hemorrhages due to terminal shock this and one other slide of this are classic except for the color distortion by fixation
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Respiratory |
| Description: |
| RESPIRATORY: Lung: Diffuse Alveolar Damage: Gross fixed tissue honeycomb lungs 3yowm Downs syndrome with AV canal 18 days postoperative excellent illustration of the rapid destruction of the lungs by this shock lesion
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Alimentary tract |
| Description: |
| ALIMENTARY TRACT: Small intestine: Ischemia: Gross natural color loops of opened small intestine mostly jejunum with severe ischemia (gangrene) probably septic shock case of acute myelogenous leukemia under treatment
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© University of Alabama at Birmingham, Department of Pathology
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Type: |
| Gross |
| Organ/System: |
| Liver-Biliary |
| Description: |
| LIVER-BILIARY: Infarct: Gross natural color large areas of infarction without appearance of severe congestion liver is brownish color perhaps reflecting fatty change with severe shock history not available
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© University of Alabama at Birmingham, Department of Pathology
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|  |
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Type: |
| Radiology |
| Organ/System: |
| Pancreas |
| Description: |
| PANCREAS: Case# 103: HEMORRHAGIC PANCREATITIS AND DUOD. WALL PSEUDOCYST. This is a 46 year old male with a history of alcohol abuse and acute pancreatitis. Inflammatory changes and fluid surround the pancreas within the anterior pararenal space. A more well defined fluid collection in continuity with the second and third segment of the duodenum suggests that fluid may have dissected within the serosa of the second and third duodenal segments. There are strands of high attenuation within this fluid collection on the pre-contrast study, suggesting hemorrhage. There is moderate gaseous and fluid distention of the stomach suggesting at least partial obstruction at the duodenum. A moderate left pleural effusion with associated left lower lobe atelectasis is present. The liver is diffusely diminished in attenuation without evidence of focal lesion. Strandy opacities are present throughout the mesentery consistent with congestion and/or inflammation. A small amount of ascites is seen within the pelvis. Incidental note is made of a left simple renal cyst and gunshot fragments within the left paraspinal tissues. Pancreatitis is thought to result from inappropriate intrapancreatic activation of proteases, causing autodigestion of the gland and leading to pancreatic inflammatory disease. The two most common causes of acute pancreatitis are ethanol abuse and choledocholithiasis. Diagnosis of acute pancreatitis is made on the basis of the history, physical findings, and an elevation in the serum amylase. Since, however, serum amylase may be normal in 1/3 of patients having alcoholic pancreatitis, CT may be needed to confirm the diagnosis. CT findings include diffuse or focal glandular enlargement, contour irregularity, focal irregular areas of decreased attenuation secondary to necrosis or edema, and changes in the peripancreatic areolar tissues, fat, and parietal peritoneal planes. Hemorrhagic pancreatitis is an important manifestation of acute pancreatitis that may lead to hypovolemic shock and death. This may appear on CT as pancreatic and peripancreatic fluid collections with areas of high density, indicative of blood clots within the bed of the pancreas. These fluid collections may mimic pseudocysts, however, fluid collections due to hemorrhagic pancreatitis differ in that they change in size, shape, and location while pseudocysts tend to be more permanent. Typical CT findings of pseudocysts show low-density fluid masses with well-defined walls of variable thickness. Calcifications may occur within the pseudocysts. Intramural pseudocysts in the stomach, duodenum, and colon are relatively rare but do occur. These most commonly involve the posterolateral wall of the second part of the duodenum and may produce obstruction of the the bowel lumen. Features distinctive of intramural pseudocysts include extension along the wall of the duodenum, resulting in a tubular shape following the course of the duodenum, and abrupt flattening of the pseudocyst at the border of the duodenal lumen. Circumferential involvement of the duodenum may also occur.
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© University of Alabama at Birmingham, Department of Radiology
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|  |
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Type: |
| Radiology |
| Organ/System: |
| Pancreas |
| Description: |
| PANCREAS: Case# 103: HEMORRHAGIC PANCREATITIS AND DUOD. WALL PSEUDOCYST. This is a 46 year old male with a history of alcohol abuse and acute pancreatitis. Inflammatory changes and fluid surround the pancreas within the anterior pararenal space. A more well defined fluid collection in continuity with the second and third segment of the duodenum suggests that fluid may have dissected within the serosa of the second and third duodenal segments. There are strands of high attenuation within this fluid collection on the pre-contrast study, suggesting hemorrhage. There is moderate gaseous and fluid distention of the stomach suggesting at least partial obstruction at the duodenum. A moderate left pleural effusion with associated left lower lobe atelectasis is present. The liver is diffusely diminished in attenuation without evidence of focal lesion. Strandy opacities are present throughout the mesentery consistent with congestion and/or inflammation. A small amount of ascites is seen within the pelvis. Incidental note is made of a left simple renal cyst and gunshot fragments within the left paraspinal tissues. Pancreatitis is thought to result from inappropriate intrapancreatic activation of proteases, causing autodigestion of the gland and leading to pancreatic inflammatory disease. The two most common causes of acute pancreatitis are ethanol abuse and choledocholithiasis. Diagnosis of acute pancreatitis is made on the basis of the history, physical findings, and an elevation in the serum amylase. Since, however, serum amylase may be normal in 1/3 of patients having alcoholic pancreatitis, CT may be needed to confirm the diagnosis. CT findings include diffuse or focal glandular enlargement, contour irregularity, focal irregular areas of decreased attenuation secondary to necrosis or edema, and changes in the peripancreatic areolar tissues, fat, and parietal peritoneal planes. Hemorrhagic pancreatitis is an important manifestation of acute pancreatitis that may lead to hypovolemic shock and death. This may appear on CT as pancreatic and peripancreatic fluid collections with areas of high density, indicative of blood clots within the bed of the pancreas. These fluid collections may mimic pseudocysts, however, fluid collections due to hemorrhagic pancreatitis differ in that they change in size, shape, and location while pseudocysts tend to be more permanent. Typical CT findings of pseudocysts show low-density fluid masses with well-defined walls of variable thickness. Calcifications may occur within the pseudocysts. Intramural pseudocysts in the stomach, duodenum, and colon are relatively rare but do occur. These most commonly involve the posterolateral wall of the second part of the duodenum and may produce obstruction of the the bowel lumen. Features distinctive of intramural pseudocysts include extension along the wall of the duodenum, resulting in a tubular shape following the course of the duodenum, and abrupt flattening of the pseudocyst at the border of the duodenal lumen. Circumferential involvement of the duodenum may also occur.
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© University of Alabama at Birmingham, Department of Radiology
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|  |
| |
Type: |
| Radiology |
| Organ/System: |
| Pancreas |
| Description: |
| PANCREAS: Case# 103: HEMORRHAGIC PANCREATITIS AND DUOD. WALL PSEUDOCYST. This is a 46 year old male with a history of alcohol abuse and acute pancreatitis. Inflammatory changes and fluid surround the pancreas within the anterior pararenal space. A more well defined fluid collection in continuity with the second and third segment of the duodenum suggests that fluid may have dissected within the serosa of the second and third duodenal segments. There are strands of high attenuation within this fluid collection on the pre-contrast study, suggesting hemorrhage. There is moderate gaseous and fluid distention of the stomach suggesting at least partial obstruction at the duodenum. A moderate left pleural effusion with associated left lower lobe atelectasis is present. The liver is diffusely diminished in attenuation without evidence of focal lesion. Strandy opacities are present throughout the mesentery consistent with congestion and/or inflammation. A small amount of ascites is seen within the pelvis. Incidental note is made of a left simple renal cyst and gunshot fragments within the left paraspinal tissues. Pancreatitis is thought to result from inappropriate intrapancreatic activation of proteases, causing autodigestion of the gland and leading to pancreatic inflammatory disease. The two most common causes of acute pancreatitis are ethanol abuse and choledocholithiasis. Diagnosis of acute pancreatitis is made on the basis of the history, physical findings, and an elevation in the serum amylase. Since, however, serum amylase may be normal in 1/3 of patients having alcoholic pancreatitis, CT may be needed to confirm the diagnosis. CT findings include diffuse or focal glandular enlargement, contour irregularity, focal irregular areas of decreased attenuation secondary to necrosis or edema, and changes in the peripancreatic areolar tissues, fat, and parietal peritoneal planes. Hemorrhagic pancreatitis is an important manifestation of acute pancreatitis that may lead to hypovolemic shock and death. This may appear on CT as pancreatic and peripancreatic fluid collections with areas of high density, indicative of blood clots within the bed of the pancreas. These fluid collections may mimic pseudocysts, however, fluid collections due to hemorrhagic pancreatitis differ in that they change in size, shape, and location while pseudocysts tend to be more permanent. Typical CT findings of pseudocysts show low-density fluid masses with well-defined walls of variable thickness. Calcifications may occur within the pseudocysts. Intramural pseudocysts in the stomach, duodenum, and colon are relatively rare but do occur. These most commonly involve the posterolateral wall of the second part of the duodenum and may produce obstruction of the the bowel lumen. Features distinctive of intramural pseudocysts include extension along the wall of the duodenum, resulting in a tubular shape following the course of the duodenum, and abrupt flattening of the pseudocyst at the border of the duodenal lumen. Circumferential involvement of the duodenum may also occur.
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© University of Alabama at Birmingham, Department of Radiology
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|  |
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Type: |
| Radiology |
| Organ/System: |
| Abdomen |
| Description: |
| ABDOMEN: Case# 33547: TRAUMA LIVER, SPLEEN, PANCREAS, KIDNEY, ADRENAL. Patient in motor vehicle accident. 1. Severe laceration to the liver, right kidney, pancreatic head and neck, and spleen were seen. 2. Hemorrhage and hematoma within the gallbladder is noted with gallbladder wall edema. 3. Duodenal hematoma noted. 4. Shocked bowel consistent with hypotension. 5. Intraperitoneal hemorrhage noted throughout the abdomen and pelvis.
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© University of Alabama at Birmingham, Department of Radiology
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|  |
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Type: |
| Radiology |
| Organ/System: |
| Abdomen |
| Description: |
| ABDOMEN: Case# 33547: TRAUMA LIVER, SPLEEN, PANCREAS, KIDNEY, ADRENAL. Patient in motor vehicle accident. 1. Severe laceration to the liver, right kidney, pancreatic head and neck, and spleen were seen. 2. Hemorrhage and hematoma within the gallbladder is noted with gallbladder wall edema. 3. Duodenal hematoma noted. 4. Shocked bowel consistent with hypotension. 5. Intraperitoneal hemorrhage noted throughout the abdomen and pelvis.
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© University of Alabama at Birmingham, Department of Radiology
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|  |
| |
Type: |
| Radiology |
| Organ/System: |
| Abdomen |
| Description: |
| ABDOMEN: Case# 33547: TRAUMA LIVER, SPLEEN, PANCREAS, KIDNEY, ADRENAL. Patient in motor vehicle accident. 1. Severe laceration to the liver, right kidney, pancreatic head and neck, and spleen were seen. 2. Hemorrhage and hematoma within the gallbladder is noted with gallbladder wall edema. 3. Duodenal hematoma noted. 4. Shocked bowel consistent with hypotension. 5. Intraperitoneal hemorrhage noted throughout the abdomen and pelvis.
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© University of Alabama at Birmingham, Department of Radiology
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|  |
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Type: |
| Radiology |
| Organ/System: |
| Abdomen |
| Description: |
| ABDOMEN: Case# 33547: TRAUMA LIVER, SPLEEN, PANCREAS, KIDNEY, ADRENAL. Patient in motor vehicle accident. 1. Severe laceration to the liver, right kidney, pancreatic head and neck, and spleen were seen. 2. Hemorrhage and hematoma within the gallbladder is noted with gallbladder wall edema. 3. Duodenal hematoma noted. 4. Shocked bowel consistent with hypotension. 5. Intraperitoneal hemorrhage noted throughout the abdomen and pelvis.
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© University of Alabama at Birmingham, Department of Radiology
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|  |
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Type: |
| Radiology |
| Organ/System: |
| Abdomen |
| Description: |
| ABDOMEN: Case# 33547: TRAUMA LIVER, SPLEEN, PANCREAS, KIDNEY, ADRENAL. Patient in motor vehicle accident. 1. Severe laceration to the liver, right kidney, pancreatic head and neck, and spleen were seen. 2. Hemorrhage and hematoma within the gallbladder is noted with gallbladder wall edema. 3. Duodenal hematoma noted. 4. Shocked bowel consistent with hypotension. 5. Intraperitoneal hemorrhage noted throughout the abdomen and pelvis.
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© University of Alabama at Birmingham, Department of Radiology
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| |
|  |
| |
Type: |
| Radiology |
| Organ/System: |
| Abdomen |
| Description: |
| ABDOMEN: Case# 33547: TRAUMA LIVER, SPLEEN, PANCREAS, KIDNEY, ADRENAL. Patient in motor vehicle accident. 1. Severe laceration to the liver, right kidney, pancreatic head and neck, and spleen were seen. 2. Hemorrhage and hematoma within the gallbladder is noted with gallbladder wall edema. 3. Duodenal hematoma noted. 4. Shocked bowel consistent with hypotension. 5. Intraperitoneal hemorrhage noted throughout the abdomen and pelvis.
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© University of Alabama at Birmingham, Department of Radiology
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