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Abdomen Anatomy > Hepatobiliary > Flashcards

Hepatobiliary Flashcards

1
Q

Epiploic foramen boundaries

A

Anterior - CBD , Hepatic Artery , Portal vein

Posterior - IVC , Right adrenal gland

Superior - caudate lobe of liver

Inferior - 1st part of duodenum

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2
Q

Liver

Rt & Lt lobes are divided anatomically by

A

Anteriorly - Falciform ligament

Posteriorly - fissures of ligamentum venosum & ligamentum teres
H-shaped fossae

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3
Q

Lobes of Liver

A
  • Rt lobe
  • Lt lobe
  • Caudate lobe
  • Quadrate lobe
  • Base area ( between superior & inferior coronary ligament )
  • Porta hepatis
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4
Q

Lobes of Liver

Anatomically & Functionally

A

Anatomically

Rt Lobe ( Caudate + Quadrate ) > Lt Lobe

Functionally

Rt Lobe = Lt Lobe ( Caudate + Quadrate )

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5
Q

Ligaments in Liver

A
  • Falciform ligament
  • Ligamentum teres
  • Coronary ligaments
  • Right triangular ligament
  • Left triangular ligament
  • Ligamentum venosum
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6
Q

Lesser omentum

from - to ?
contains ?

A
  • from ligamentum venosum & porta hepatis
  • passes to lesser curve of stomach
  • free edge of lesser omentum contains
    DAVE - CBD , Hepatic Artery , Portal vein , Epiploic foramen
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7
Q

the area devoid of peritoneum in liver

A

Bare area
( in which IVC is embedded )
( between superior & inferior coronary ligaments )

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8
Q

Right triangular ligament is formed by

A

Fusion of Upper & Lower leaves of coronary ligament

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9
Q

Falciform ligament divides into

A

Left Triangular ligament & Coronary ligament

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10
Q

Liver nerve supply is from

A

Coeliac plexuses

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11
Q

What are Posteroinferior to Liver ?

Superior - Diaphragm

A
  • abdominal oesophagus
  • stomach
  • doudenum
  • hepatic flexure
  • right kidney
  • right suprarenal
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12
Q

Liver inferior surface - Superior to inferior

A

IVC
Caudate lobe
Porta hepatis
Quadrate lobe

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13
Q

Contents of Porta Hepatis

A

DAVE

  • CBD
  • Hepatic artery
  • Portal vein
  • Epiploic foramen
  • Lymph node
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14
Q

Blood supply of Liver

A
  • Portal vein

- Hepatic artery

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15
Q

Calot’s traingle borders

A

Superior - Inferior surface of liver
Inferior - Cystic duct
Medial - Common hepatic duct

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16
Q

Contents of Calots triangle

A
  • Right hepatic artery
  • Cystic artery
  • Lymph node of lund
  • Lymphatics
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17
Q

CBD is formed by ?

A

fusion of

  • cystic duct from gallbladder &
  • common hepatic duct from liver
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18
Q

Blood supply of Gall bladder

A

Cystic artery ( from right hepatic artery )

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19
Q

Gall bladder consists of

A
  • Fundus
  • Body
  • Neck

( neck opens into cystic duct - which conveys bile to and from CBD )

20
Q

Hemorrhage during cholecystectomy or liver trauma can be controlled by

A

Pringles’s manoeuvre

compressing the hepatic artery & portal vein in the free edge of lesser omentum

21
Q

Pancreas is divide into

A
  • Head
  • Uncinate process
  • Neck
  • Body
  • Tail
22
Q

Pancreas’s

  • peritoneum ?
  • plane ?
A
  • Retroperitoneal

- Transpyloric plane ( L1 )

23
Q

Superior mesenteric vessels in relation to pancreas

A
  • posterior to Head of pancreas

- anterior to uncinate process

24
Q

Head of Pancreas is anterior to

A

IVC
Renal vessels
Superior mesenteric vessels

25
Q

Which vessels ?
join at Where ?
- to form the portal vein

A
  • SMV & Splenic vein
  • joins behind neck of pancreas
    To for the portal vein
26
Q

Where does splenic artery run along ?

A

Superior border of pancreas

27
Q

Where does splenic vein runs ?

A

Behind pancreas

28
Q

Where does main pancreatic duct ( of Wirsung ) enters into digestive system ?

A

Medial aspect of 2nd part of duodenum

- at the ampulla of Vater

29
Q

Blood supply of head & uncinate process of pancreas

A
  • superior pancreaticoduodenal A ( gastroduodenal A )

- inferior pancreaticoduodenal A ( SMA )

30
Q

Blood supply of pancreas

except head & uncinate process

A

From splenic artery

via arteria pancreatica magna

31
Q

Origin of pancreas

embroyamal development

A

Ventral & Dorsal endodermal outgrowths of the duodenum

32
Q

Posterior relations of pancreas

A
  • Aorta
  • SMV
  • Portal vein
  • CBD
  • left crus of diaphragm
  • left suprarenal
  • left kidney
33
Q

Rule of odds of Spleen

A

1 3 5 inches

    7 ounces ( 150g )

9 - 11 ribs ( site )
34
Q

Gastrosplenic ligaments

  • contents
  • connects
A

Left Gastroepiploic artery
+
Short Gastric arteries
- connects spleen to greater curve of stomach

35
Q

Lieonrenal ligament

  • contents
  • connects
A

Splenic Artery
+
Tail of pancreas

  • connects spleen to posterior abdominal wall
36
Q

Relations of the spleen

A

Anterior - stomach

Posterior - left lung

              - left part of diaphragm ( seperate it from pleura )
              - 9,10,11 ribs

Inferiorly - splenic flexure of colon

Medially - left kidney
- tail of pancreas

37
Q

Blood supply of spleen

A
  • Splenic artery

- Hilum contains splenic vessels

38
Q

Spleen - red pulps & white pulps function

A

Red pulps - vessels

White pulps - immune

39
Q

Where are accessory spleen found ?

Splenunculi

A
  • near hilum
  • tail of pancreas
  • gonads
  • omentum
  • small bowel mesentery
  • splenorenal ligament
40
Q

Division of what will be necessary during a splenectomy

A

Short gastric vessels

splenic flexure may need to be mobilises but not divided

41
Q

Most superficial structure at L1 right of rectus sheath

A

Fundus of GB

42
Q

Identify a large vessel passing inferiorly over the anterior aspect of the pancreatic head

A

SMA

43
Q

Blood supply of CBD

A

Hepatic artery

44
Q

Blood supply of pancreatic head & tail

A

Head - Pancreaticoduodenal artery

Tail - branches of splenic artery

45
Q

Granulomata arise from which type of cells

A

Macrophageso

46
Q

Mobilisation of left lobe of liver will facilitate surgical access to ?

A

Abdominal oesophagus

Abdomen Anatomy (5 decks)

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