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Normal Ileum
Etiology

Not applicable.
Pathogenesis

Not applicable.,
Epidemiology

Not applicable.
General Gross Description

Distal 60% of small bowel beyond ligament of Treitz
Thinner wall and smaller lumen than jejenum
Less prominent plicae, fattier mesentery
Mostly located in lower abdomen
Supplied by superior mesenteric artery
•Examples:
General Microscopic Description

Mucosa thrown up in plicae and arranged in villi to maximize absorptive area
Villi project above surface; crypts of Lieberkuhn extend between the villi to the muscularis mucosa
Villi lined by absorptive tall columnar cells and goblet cells
One intraepithelial T lymphocyte/5 glandular cells
Scattered endocrine cells
Crypts contain stem cells, endocrine cells, and Paneth cells with supranuclear, eosinophilic granules
Plasma cells, lymphocytes, mast cells, eosinophils, and histiocytes normal in lamina propria
Submucosa beneath the muscularis mucosa, contains Meissner's plexus of ganglion cells and nerves
Muscularis propria with inner circular and outer longitudinal layers separated by Auerbach's plexus
Outer surface covered by visceral peritoneum
Mucosal/submucosal lymphoid follicles termed Peyer's patches.
•Examples:
Normal Ileal Mucosa x4
Clinical Correlation

Not applicable.
References

Histology for Pathologists. Sternberg SS ed. New York: Raven Press, 1992. pp. 547-56

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Normal Ileum
Synopsis by: Melinda Sanders M.D. (T65200M00100)[539]
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