c l i n i c a l f o l i o s : n a r r a t i v e





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Submucosal Lipoma, Transverse Colon: 43

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The term seromuscular is a misnomer. The strong collagen-containing layer of the bowel wall is the submucosa, and this must be included in the stitch. The submucosal plexus of blood vessels is a good indicator that a bite is deep enough. If the needle is deep to the submucosa, the bowel wall will blanch when the needle is elevated.      

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Submucosal Lipoma, Transverse Colon: 44

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The completed back wall is shown.     

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Submucosal Lipoma, Transverse Colon: 45

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The distal bowel is demonstrated.     

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This page was last modified on 1/25/2005.