Canadian Association of Pathologists - Case of the Month - March, 2008
Contributed by Sate Hamza MD FRCPC (shamza@exchange.hsc.mb.ca), Health Sciences Center, Winnipeg, MB.
Virtual microscopy cases hosted by Objective Pathology Services, Toronto, Ontario.
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Clinical History:
A 16-year-old boy presented with sharp severe unremitting pain in the right lower quadrant. He was afebrile but did vomit once. On examination, the patient was said to have classic signs of acute appendicitis including tenderness at McBurney's point, Rovsing's sign and the obturator sign. On further inquiry, it turns out that the patient immigrated to Canada three years ago from an unspecified country in Africa. An appendectomy was performed.
Appendectomy specimen, H&E stain:
Diagnosis:
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