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The SpleenThe Spleen
……the spleen…the spleen…
an organ of mystery and perplexity since ancient times
The spleen is the largest organ derived from The spleen is the largest organ derived from mesenchyme and lying in the mesenterymesenchyme and lying in the mesentery
It consists of masses of lymphoid tissuesIt consists of masses of lymphoid tissues is a secondary lymphoid organis a secondary lymphoid organ
……functions…functions…
in the destruction of old red blood cells and in the destruction of old red blood cells and
holding a reservoir of blood holding a reservoir of blood
It is a major site for mounting the immune It is a major site for mounting the immune
responseresponse
site of immune and phagocytic actionsite of immune and phagocytic action
Location…Location…
The spleen is located between the fundus of the
stomach and the diaphragm, while also being in
contact with the left kidney posteriorly
The gastric surface is concave and located at
the level of the eleventh thoracic vertebra. The
lower extremity of the spleen lies against the
flexure of the colon
Size…Size…
weighs about 150 grams approximately 12cm long, 7cm wide, and
3-4cm thick is affected by many factors
Spleen Histology
Capsule and TrabeculaeCapsule and Trabeculae Surface is covered by Surface is covered by
mesotheliummesothelium
Consist of thick Consist of thick connective tissue, connective tissue, smooth muscle cells, smooth muscle cells, and elastic networksand elastic networks
Trabeculae carry Trabeculae carry arteries and veinsarteries and veins
The Red and White PulpThe Red and White Pulp
AreaArea
Red Red pulp pulp
White White pulp pulp
Composition
"sinuses" (or "sinusoids") which are filled with blood
"splenic cords" of reticula fibers
"marginal zone" bordering on white pulp
"periarteriolar lymphoid sheaths" (PALS)
Function
Mechanical filtration. Removes unwanted materials from the blood, including senescent red blood cells
Helps fight infections
White pulpWhite pulp
Forms the Forms the periarteriolar lymphoid sheaths (PALS)
Contains the “germinal center”
Both consist of lymphoid tissues
Has loose irregular network of reticular fibers with associated reticular cells
Contains lymphocytes and some macrophages and plasma cells
Red PulpRed Pulp
Consist of a network of venous sinuses Consist of a network of venous sinuses separated by splenic/pulp cordsseparated by splenic/pulp cords Spongy cellular mass supported by reticular fiberSpongy cellular mass supported by reticular fiber
The mesh of reticulum are filled with free The mesh of reticulum are filled with free cells which includes macrophages, cells which includes macrophages, erythrocytes, platelets, and few plasma erythrocytes, platelets, and few plasma cells.cells.
Spleen Processes
StainsStains
Mallory-Azan stain Reticulin Stain
H&E
Clinical FocusClinical Focus
Hemolytic AnemiaHemolytic Anemia Hereditary Spherocytosis Hereditary Spherocytosis Hereditary Elliptocytosis (Ovalocytosis)Hereditary Elliptocytosis (Ovalocytosis) HyposplenismHyposplenism Etc..Etc..
Leads to splenomegaly (enlargement)Leads to splenomegaly (enlargement) Splenectomy (Spleen Removal) Splenectomy (Spleen Removal)
……END…END…