KROK 1 2019 – Question 6 · KROK (Medicine) · Pathomorphology
In the course of an urgent surgery, the vermiform appendix of the patient was excised. The appendix was acutely distended and gray-black throughout its whole length. In the distal segment a defect of the appendix wall was detected, through which a foul-smelling gray-brown substance was being discharged from the appendix lumen. Histological analysis shows necrotization of the appendix wall with hemorrhagic foci; lumen of the mesenteric artery is filled with a thrombus. What type of appendicitis is it?
- A. Acute superficial
- B. Acute simple
- C. Acute gangrenous
- D. Acute phlegmonous
- E. Chronic
Hint
Link the occluded artery, the black colour and the full-thickness wall necrosis with foul-smelling content to the morphological variant of appendicitis that they define.
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