The typical red cell makes too little vacuole material for coalescence to build the large vacuoles of pocked cells

Red blood cells carrying intracellular vacuoles, called pocked cells, are a sensitive marker of splenic function: about 0.5% of cells in healthy people, 20 to 70% after splenectomy. Vacuoles too small to see are common, and visible ones are thought to grow when small ones merge. We tested that idea