White infarct is seen in:
**Core Concept**
White infarcts, also known as anemic infarcts, are a type of necrosis that occurs in organs with a dual blood supply, where the ischemia leads to a decrease in blood flow without necessarily causing hemorrhage. This results in a pale, white appearance due to the lack of red blood cells.
**Why the Correct Answer is Right**
In the heart, white infarcts are commonly seen due to the occlusion of a coronary artery, which leads to ischemia and subsequent necrosis of the myocardial tissue. The heart has a dual blood supply, with both the coronary arteries and the cardiac veins contributing to its blood supply. When the coronary arteries are occluded, the cardiac veins continue to supply blood, but it is not enough to prevent ischemia and subsequent necrosis. This leads to the formation of a white infarct, which appears pale and anemic due to the lack of red blood cells.
**Why Each Wrong Option is Incorrect**
**Option A:** White infarcts are not commonly seen in the lung, as the lung has a single blood supply through the pulmonary arteries, and occlusion of these vessels typically leads to hemorrhagic infarcts.
**Option C:** Intestinal infarcts are typically hemorrhagic, due to the high oxygen demand of the intestinal tissue and the resulting hemorrhage when the blood supply is occluded.
**Option D:** Ovarian infarcts are also typically hemorrhagic, due to the high vascularization of the ovary and the resulting hemorrhage when the blood supply is compromised.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that the appearance of an infarct (hemorrhagic vs. anemic) depends on the organ involved and the underlying pathophysiology. A thorough understanding of the organ's blood supply and the effects of occlusion is crucial in identifying the type of infarct.
**β Correct Answer: B. Heart**