Histomorphological spectrum in splenectomy specimens- A 5 year retrospective study

Objective: To study the pathology of splenectomy specimens in a tertiary care center. Materials and Method: This is a non interventional 5 year retrospective study carried out in the PG Department of Pathology, GMC Jammu, from 1 January 2011 to 31 December 2016. Our study included 85 cases, slides & data for which were retrieved from the histopathology section & the slides reviewed by the authors. Results: Out of 85 cases, 55 were males and 30 females, the M:F ratio being 1.83:1. The age of the patients ranged from 2 to 67 years of age, maximum number of patients were in the age group of 20-30 years(n=32), followed by age group of 30-40 years(n=23). Maximum number of cases were reported as traumatic spleen(n=56), followed by congestive splenomegaly(n=9), septic infarct(n=3), normal spleen with foci of congestion(n=4), hemorrhagic infarct(n=3), splenic abscess(n=2), tubercular splenic abscess(n=4) and one case each of hypersplenism, echinococcus granulosus, Chronic myelogenous leukemia (CML) and myeloid metaplsia. Only one case of malignancy i.e. CML was reported in our study. Conclusion: Splenectomy as a surgery, is both therapeutic and diagnostic, however in our study, it was mostly therapeutic. Other treatment options like partial splenectomy or repair of the laceration should be done to avoid post splenectomy complications.