Splenic red pulp

Pulpa rubra

Lymphatic & immuneLymphaticsAbdomenLeft side

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What it is
The bulk of the spleen: a spongy meshwork of blood-filled sinusoids and cords (of Billroth) packed with macrophages, which gives the organ its dark red colour.
Function
Removes old, rigid or parasite-laden red cells, recycles their iron, and holds about a third of the body's platelets in reserve.
Size
About 75-80 % of the spleen's volume
Clinical note
Red cells must squeeze through 1-3 micrometre slits between the sinusoid lining cells; sickle cells and spherocytes cannot, so they are trapped and destroyed, which is why sickle cell disease causes haemolysis and eventually a scarred, non-functioning "autosplenectomised" spleen.