KROK 1 2009 – Question 142 · KROK (Medicine) · Pathomorphology

A pathology-histology laboratory received a vermiform appendix up to 2.0 cm thick. Its serous membrane was pale, thick and covered with yellowish-green films. The wall was flaccid, of grayish-red colour. The appendix lumen was dilated and filled with yellowish-green substance. Histological examination revealed that the appendix wall was infiltrated with neutrophils. Specify the appendix disease:

  1. A. Acute gangrenous appendicitis
  2. B. Acute superficial appendicitis
  3. C. Acute phlegmonous appendicitis
  4. D. Acute simple appendicitis
  5. E. Chronic appendicitis
Hint

Weigh how far the neutrophilic infiltration extends through the wall and whether the wall is necrotic, to grade the severity of the inflammation.

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