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Infarct
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Infarct

The white arrow points to a splenic infarct.
The lesion is rimmed by red (hemorrhage).
The centre is paler and represents an area of coagulation necrosis.
(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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