Splenic laceration

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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:

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

See also

References

  1. Sweat, JA.; Dort, JM.; Smith, RS. (Feb 2008). "Splenic embolization for splenic laceration in a patient with mononucleosis.". Am Surg 74 (2): 149-51. PMID 18306868.