12.4 Anatomy: Abdominal viscera 2

Question 1

What is the most common position for the appendix? Where else can it go?

Answer 1

Tucked behind the cecum

20% dips into pelvis

Question 2

What are the names of the ligements coming off the liver?

Answer 2

R triangular, coronary ligamnet and L triangular (superiorly)

Falciform ligament (divides lobes, peritoneal reflection), round ligament/ligamentum teres (obliterated umbilical vein)

Question 3

What impressions are on the left and right lobes of the liver?

Answer 3

Left: gastric impression
Right: Renal, duodenal and colic impression

Question 4

What are the lobes of the liver?

Answer 4

L lobe, caudate lobe (superior), quadrate lobe (inferior), R lobe

Question 5

What is the order of structures in the portal triad?

Answer 5

Proper hepatic artery to the left, common bile duct to the right/in front and portal vein behind

Question 6

What is the venous drainage of the liver?

Answer 6

Via hepatic veins directly into IVC

Question 7

In relation to the pancreas, where are the superior mesenteric artery and vein?

Answer 7

SMA/SMV run over the uncinate process and under the neck of the pancreas, hooking over

Question 8

What does the accessory pancreatic duct drain?

Answer 8

Distal head an uncinate process of the pancreas

Question 9

What ribs can puncture the spleen when fractured?

Answer 9

Ribs 9, 10, 11