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| Atelectasis |
| Etiology: • Obstruction of airway • Compression with fluid/blood/neoplasm/air in pleural space • Loss of surfactant |
| Pathogenesis: • Complete obstruction of inflow results in eventual absorption of air; partial obstruction results in hyperinflation • Compression results from increased intrathoracic pressure by accumulation of material generally in pleural spaces |
| Epidemiology: • Acquired in adulthood • Airway obstruction by foreign object or secretion • Pleural effusions with congestive heart failure |
| General Gross Description: • Dark purple, airless tissue • Hyperinflated regions are tan and pillowy |
| General Microscopic Description: • Collapse of alveolar septae against each other • May be difficult to separate from artifacts of sectioning |
| Clinical Correlations: • Reversible process • Correct underlying problem |
| References: • Cotran RS, Kumar V, Robbins SL. Robbins Pathologic Basis of Disease. 5th edition. W.B. Saunders. Philadephia 1994. pp.675. |