Splenic laceration

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.

Gross

• Splenic capsule disrupted - key feature.

Image:

• Splenic laceration (uchc.edu).

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.

Sign out

SPLEEN, SPLENECTOMY:
- DISRUPTED SPLENIC CAPSULE.
- UNREMARKABLE SPLENIC PARENCHYMA.
- ONE BENIGN HILAR LYMPH NODE.
- NEGATIVE FOR MALIGNANCY.

See also

• Spleen.
• Blunt force trauma.