Difference between revisions of "Splenic laceration"
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==Gross== | ==Gross== | ||
*Splenic capsule disrupted. | *Splenic capsule disrupted - '''key feature'''. | ||
Image: | |||
*[http://radiology.uchc.edu/eAtlas/HEM/399.htm Splenic laceration (uchc.edu)]. | |||
==Microscopic== | ==Microscopic== | ||
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<pre> | <pre> | ||
SPLEEN, SPLENECTOMY: | SPLEEN, SPLENECTOMY: | ||
- | - SPLENIC LACERATION. | ||
- UNREMARKABLE SPLENIC PARENCHYMA. | - UNREMARKABLE SPLENIC PARENCHYMA. | ||
- ONE BENIGN HILAR LYMPH NODE. | |||
- NEGATIVE FOR MALIGNANCY. | - NEGATIVE FOR MALIGNANCY. | ||
</pre> | </pre> | ||
Latest revision as of 14:48, 21 June 2013
Splenic laceration is an uncommon diagnosis, that may be seen in a number of contexts.
General
- May be due to trauma or a complication of a surgery.
- Risk factor: splenomegaly.[1]
Gross
- Splenic capsule disrupted - key feature.
Image:
Microscopic
Features:
- Normal splenic parenchyma:
- White pulp - nodules ~ 0.5 mm - darker cells at center, lighter cells at periphery.
- Red pulp.
DDx:
- Underlying pathology, e.g. mononucleosis.
- Lymphoma.
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SPLEEN, SPLENECTOMY: - SPLENIC LACERATION. - UNREMARKABLE SPLENIC PARENCHYMA. - ONE BENIGN HILAR LYMPH NODE. - NEGATIVE FOR MALIGNANCY.