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My approach to bowel ischaemia
  1. Newton ACS Wong
  1. Cellular Pathology, Southmead Hospital, Bristol, UK
  1. Correspondence to Dr Newton ACS Wong, Cellular Pathology, Southmead Hospital, Bristol, UK; Nacs.Wong{at}


Resections of ischaemic bowel are one of the most common pathology specimens yet are often viewed as unappealing and diagnostically unrewarding. This article serves to dispel both misconceptions. It also provides guidance on how clinical information, macroscopic handling and microscopic assessment—and especially the interlinking of all three—can maximise the diagnostic yield of these specimens. This diagnostic process requires recognition of the wide range of causes of intestinal ischaemia, including several more recently described entities. Pathologists should also be aware of when and why such causes cannot be discerned from a resected specimen and of how certain artefacts or differential diagnoses can mimic ischaemia.

  • Intestine, Small
  • Intestine, Large
  • Vascular Diseases

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  • Handling editor Runjan Chetty.

  • Collaborators n/a.

  • Contributors NACSW wrote the entire article himself.

  • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.