Avitene granulomas of colonic serosa

Avitene, microfibrillar collagen hemostat, is an absorbable topical hemostatic agent prepared from purified bovine corium collagen. A case is reported of a 58-year-old man who, one month after sigmoid colectomy for volvulus in which Avitene as used to control bleeding from a splenic capsular tear, d...

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Veröffentlicht in:Annals of clinical and laboratory science 1986-07, Vol.16 (4), p.296-302
Hauptverfasser: MCGREGOR, D. H, MACARTHUR, R. I, CARTER, T
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creator MCGREGOR, D. H
MACARTHUR, R. I
CARTER, T
description Avitene, microfibrillar collagen hemostat, is an absorbable topical hemostatic agent prepared from purified bovine corium collagen. A case is reported of a 58-year-old man who, one month after sigmoid colectomy for volvulus in which Avitene as used to control bleeding from a splenic capsular tear, developed symptoms of intestinal obstruction. On exploratory laparotomy, the transverse and descending colon had numerous 0.1 to 2.0 cm nodules, adherent to the serosa of the bowel and mesentery, with kinking and partial obstruction of the splenic flexure. Light microscopically, the nodules were found to be composed of chronic inflammatory and granulomatous reaction with numerous deposits of eosinophilic fibrillar material consistent with Avitene. Electron microscopic examination of the lesions and of Avitene confirmed the nature of this material. The practical and pathobiological implications of utilization of Avitene as a hemostatic agent are discussed.
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I</creatorcontrib><creatorcontrib>CARTER, T</creatorcontrib><title>Avitene granulomas of colonic serosa</title><title>Annals of clinical and laboratory science</title><addtitle>Ann Clin Lab Sci</addtitle><description>Avitene, microfibrillar collagen hemostat, is an absorbable topical hemostatic agent prepared from purified bovine corium collagen. A case is reported of a 58-year-old man who, one month after sigmoid colectomy for volvulus in which Avitene as used to control bleeding from a splenic capsular tear, developed symptoms of intestinal obstruction. On exploratory laparotomy, the transverse and descending colon had numerous 0.1 to 2.0 cm nodules, adherent to the serosa of the bowel and mesentery, with kinking and partial obstruction of the splenic flexure. Light microscopically, the nodules were found to be composed of chronic inflammatory and granulomatous reaction with numerous deposits of eosinophilic fibrillar material consistent with Avitene. Electron microscopic examination of the lesions and of Avitene confirmed the nature of this material. The practical and pathobiological implications of utilization of Avitene as a hemostatic agent are discussed.</description><subject>Adipose Tissue - pathology</subject><subject>Biological and medical sciences</subject><subject>Collagen - adverse effects</subject><subject>Collagen - metabolism</subject><subject>Colonic Diseases - chemically induced</subject><subject>Colonic Diseases - pathology</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Granuloma - chemically induced</subject><subject>Granuloma - pathology</subject><subject>Histiocytes - pathology</subject><subject>Histocytochemistry</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microscopy, Electron</subject><subject>Middle Aged</subject><subject>Pharmacology. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adipose Tissue - pathology
Biological and medical sciences
Collagen - adverse effects
Collagen - metabolism
Colonic Diseases - chemically induced
Colonic Diseases - pathology
Drug toxicity and drugs side effects treatment
Granuloma - chemically induced
Granuloma - pathology
Histiocytes - pathology
Histocytochemistry
Humans
Male
Medical sciences
Microscopy, Electron
Middle Aged
Pharmacology. Drug treatments
Serous Membrane - pathology
Toxicity: digestive system
title Avitene granulomas of colonic serosa
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