An enlarged spleen. At the apex of the specimen, there is a poorly-defined 5 cm recent
haemorrhagic infarct. On the left-hand side of the specimen there is a smaller haemorrhagic infarct
of similar age while, directly opposite, there is an old white infarct measuring 4 x 2 cm.
This man suffered myocardial infarction while in hospital following a hemicolectomy
for a carcinoma of the appendix. He had had a previous myocardial infarct, and it is assumed that
the infarcts, complicated by mural thrombus, were responsible for the embolic phenomena.