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Splenic Infarct with Chronic Congestion
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Splenic Infarct with Chronic Congestion

This is a section of spleen with dark red parenchyma.
The wedge shaped lesion with the broad edge beneath the capsule is an area of infarct.
The infarct often stands out from the surrounding parenchyma and may be much firmer.
There is a band of intense hemorrhage around the area of necrotic tissue which is slightly yellow.
The non-necrotic spleen is intensely congested.
(Description By:T. V. Rajan, M.D. )
(Image Contrib. by: UCHC )
Infarct
Etiology

Thrombosis of splenic arteries, usually embolic
Non-thrombotic decrease in blood flow in very large spleens
Pathogenesis

Obstruction or compromise of blood flow with necrosis of distal tissue,
Epidemiology

Associated with endocarditis
Associated with hematologic conditions resulting in very enlarged spleens, such as leukemia
General Gross Description

White, firm lesions which are triangular
Base of triangle at capsule
General Microscopic Description

Necrotic, hemorrhagic tissue which does not organize
Clinical Correlation

May present with sudden onset of pain
Usually incidental
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 670.
Infarct
Synopsis by: Melinda Sanders M.D. (T07000M54700)[414]
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