Abdominal pannus

Abdominal pannus is the pathology specimens corresponding to an abdominoplasty (also known as tummy tuck). It is generally considered a ditzel.

Pannus redirects here; pannona has been proposed as a better term.

Panniculus and striae also redirect here.

General

• An apron-like excess of skin - following weight loss.
• Seen in obesity.

Gross

• Skin with abundant fat.
  • Pieces usually triangular.
  • Stretch marks (striae) are very common.

Notes:

• The gross pathology section of the report should say something like: On sectioning no lesions were identified.
• The cut-up is described in abdominal pannus grossing.

Images

• 

  Stretch marks - abdomen. (WC/FatM1ke)

Microscopic

Features:

• Adipose tissue.

DDx:

• Lipoma.
• Liposarcoma.

Images

• Histology of striae (stratamark.net).

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ABDOMINAL PANNUS, EXCISION:
- BENIGN SKIN AND ADIPOSE TISSUE.

ABDOMINAL PANNUS, EXCISION:
- DERMAL SCAR, BENIGN SKIN AND ADIPOSE TISSUE.

Gross only

ABDOMINAL PANNUS, EXCISION:
- BENIGN SKIN AND ADIPOSE TISSUE (GROSS ONLY).

See also

• Ditzels.
• Dermatopathology.