Question
(A): Gandy Gamna Bodies are seen in chronic venous congestion of Spleen (R): Chronic venous congestion of spleen causes right sided heart failure. a) Both A & R are correct and R is the reason for A b) Both A & R are correct but R is not reason for A c) A is correct R is incorrect d) A is incorrect R is correct
Answer
Correct answer: c) A is correct R is incorrect
A is correct, R is incorrect. Gandy-Gamna bodies (small, iron- and calcium-encrusted foci of old haemorrhage, appearing as firm brown nodules) are indeed a characteristic finding in the spleen in chronic venous congestion. However, R states the causal direction backwards — chronic venous congestion of the spleen is caused by right-sided heart failure (via the systemic venous backup, or from portal hypertension), not the other way around.