Colorectal Surgery : Living Pathology in the Operating Room

From the Foreword

"The experienced surgeon will appreciate this book by recognizing the details and exquisitely rendered images
that call to mind similar cases encountered. For the surgeon or trainee relatively new to the practice of
colorectal surgery, the graphic presentation of the surgical pathology, with the accompanying succinct and
informative text, will make the acquisition of this book a worthwhile one."

Victor Fazio, M.D. and Stanley Goldberg, M.D.

As Lord Moynihan frequently mentioned in his legendary lectures, surgeons have the unique opportunity to
study pathology in vivo, or in a living state. The pathology is seen in relation to normal anatomy, leading
to important surgical judgments that ensure only diseased tissue will be removed, and with minimal damage
or sacrifice to normal structures. In addition to influencing surgical design making, observation of
living pathology offers a glimpse into the disease process and provides a valuable assessment of the
morphological features of the specimen before it is preserved with formalin.




SMALL BOWEL

1. Lipoma: Terminal Ileum
2. The Intruding Carcinoid
3. Carcinoidosis of the Ileum
4. GIST of the Ileum
5. Adenocarcinoma of the Jejunum
6. Blind Pouch Syndrome
7. Blind Pouch Syndrome after Ileorectal Anastomosis

APPENDIX

8. Appendicitis: Diagnosis at Colonoscopy
9. Mucocele of the Appendix
10. Cystadenoma: Appendix
11. Carcinoma of the Appendix

POLYPS-POLYPOSIS

12. A Mega Polyp Associated with a Micro Cancer
13. Extensive "Benign" Polyp of the Rectum and Sigmoid Colon
14. A Bad Result from a Successful Operation for a Polyp in the
Sigmoid Colon
15. One Operation for Double Pathology
16. Juvenile Polyposis and Rectal Prolapse
17. Juvenile Polyposis in an Adult
18. Chronic Intussusception of the Colon due to Peutz-Jeghers Syndrome
19. Carcinoma of the Rectum:FAP and Rectovaginal Fistula
20. Ileorectal Anastomosis for FAP: Rectal Cancer
21. Large Bowel Lipomatosis
22. A Polypoid Lesion in the Sigmoid Colon

CANCER OF THE COLON AND RECTUM

23. Synchronous Colon Carcinoma and Malignant Carcinoid
24. Coexistent Cancer and Diverticulitis
25. Sigmoid Carcinoma and Serosal Cysts
26. Cavitating Cancer of the Transverse Colon
27. The Wagging Tongue of a Sigmoid Cancer
28. Protracted Recurrence of Mucoid Cancer
29. Anaplastic Colon Cancer
30. Linitis Plastica of the Colon and Rectum
31. Curative Resection of Rectal Cancer Despite Liver Metastases
32. Small Sigmoid Cancer: "Mega" Lymph Node Metastasis
33. Rectal Cancer Infiltrating the Buttock via An Anal Fistula
34. Lucky Local Recurrence
35. Thoraco-abdominal Approach to Carcinoma of the Splenic Flexure

DIVERTICULAR DISEASE

36. Was It Diverticulitis?
37. Large Pseudopolyp of the Sigmoid Colon
38. Which Operation for Acute Diverticulitis with Peritonitis
39. Waiting to Die
40. Distal Abscesses and Diverticular Disease
41. Colo Perineal Fistula
42. Diverticulitis: Extensive Abscess in the Mesorectum
43. Diverticulitis: Colovesical Fistula
44. Dissecting Diverticulitis
45. Annular Extramural Dissecting Diverticulitis
46. Giant Diverticulum
47. Giant Diverticulum
48. Diverticulitis: Large Bowel Obstruction

INFLAMMATORY BOWEL DISEASE

49. Ulceration in Crohn’s Disease of the Small Bowel
50. Recurrent Crohn’s Disease
51. Crohn’s Disease: Strictures of Ascending Colon and Duodenum
52. The Appendix, Fistulae and Pseudopolyps in Crohn’s Disease
53. A "Shamrock" Deformity due to Crohn’s Disease
54. A Short "Hose Pipe" Colon: Crohn’s Disease
55. Recurrent Crohn’s Disease: Pseudopolyposis
56. Presentation of Crohn’s Ileitis as an Abdominal Malignancy
57. Crohn’s Disease 19 Years After Initial Resection
58. Large Bowel Obstruction: Crohn’s Disease
59. Subacute Toxic Megacolon due to Ulcerative Colitis
60. Colitis and Pseudopolyposis
61. Ileo-Rectal Anastomosis for Chronic Ulcerative Colitis: Early
Diagnosis of Carcinoma: Late Diagnosis of Large Polyp
62. Childhood Ulcerative Colitis: Rectal Cancer
63. Obstructive Colitis
64. Pseudomembranous Colitis and Toxic Megacolon
65. Ileocaecal Tuberculosis Mimicking Crohn’s Disease or Vice Versa

LYMPHOMA

66. Burkitt’s Lymphoma (Ileum) with Intussusception
67. Ileo-Caecal Lymphoma
68. Multiple Lymphoma and Ulcerative Colitis
69. Lymphoma of the Rectum

ANO RECTAL DISEASE

70. An Intrasphincteric Anal Tumour
71. Aggressive Angiomyxoma of the Pelvis
72. Implantation Metastasis into an Anal Fistula
73. Local Excision of a Rectal Carcinoma can be an Easy Operation
74. Proctitis Cystica Profunda
75. Rectopexy for a Rectal Stricture
76. Intersphincteric Anal Fistula with Proximal Perirectal Extension
77. Necrotising Infection after Removal of "Benign" Rectal Polyp

VARIOUS PATHOLOGY

78. Intra-Abdominal Desmoid Unassociated with FAP
79. Pneumatosis Coli