Lecture 22- Pancreas and Spleen

Question 1

Pancreas is a glandular organ?

Answer 1

Endocrine and exocrine - like liver

Question 2

Pancreatic head location?

Answer 2

in concavity of duodenum, Unicate process wraps behind SM vessels

Question 3

Pancreatic neck location?

Answer 3

anterior to SM vessel origins

Question 4

Pancreatic tail location?

Answer 4

passes into lienorenal ligament, in contact w linus of spleen

Question 5

Ducts of pancreas?

Answer 5

Main duct: tail of pancreas to ampulla of vater; Accessory duct: drains into head and then duodenum via minor duodenal papilla

Question 6

Blood supply of pancreas?

Answer 6

Superior pancreaticoduodenal artery (from common hepatic), Dorsal an Greater pancreatic (from splenic) and inferior pancreaticduodenal (from superior mesentery)

Question 7

Venous drainage of pancreas?

Answer 7

Portal system; splenic vein or SMV through liver into IVC

Question 8

Lymphatics of pancreas?

Answer 8

Dual lymphatics: Coeliac nodes (T12) and SM nodes (L1)

Question 9

ANS to pancreas?

Answer 9

Coeliac plexus - greater sphlanchic nerve and vagus nerve; pain referred to epigastric region

Question 10

Spleen Location?

Answer 10

deep to ribs 9-11 in left hyperchondrium

Question 11

Gastrosplenic ligament carries?

Answer 11

short gastric and gastro-epiploic vessels

Question 12

Splenorenal ligament?

Answer 12

to left kidney, carries splenic vessels and tail of pancreas

Question 13

Spatial relationships w spleen?

Answer 13

Anterior: stomach, splenic flexure of colon, tail of pancreas; Posterior: L. Kidney, ribs 9-11

Question 14

Blood supply to spleen?

Answer 14

Splenic artery (from coeliac axis)

Question 15

Venous drainage from spleen?

Answer 15

Splenic vein (into portal vein)

Question 16

Lymph drainage of spleen?

Answer 16

Coeliac nodes at T12

Question 17

ANS of spleen?

Answer 17

Same as pancreas

Question 18

Transpyloric plane specific location?

Answer 18

Midway between suprasternal notch and pubixc symphysis (L1)

Question 19

What is on the trans-pyloric plane?

Answer 19

1st part duodenum (& pylorus), Hila of kidneys, neck of pancreas, SMA origin, Portal vein origin, fundus of gallbladder