Pancreas Flashcards

1
Q

Type

A

Mixed gland:
1. Endocrine: secretes:
- Insulin
- Glucagon
- Gastrin
2. Exocrine: secretes:
- Pancreatic juice with digestive enzymes

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2
Q

Definition

A

Retroperitoneal lobulated gland

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3
Q

Site

A
  1. Lies obliquely on posterior abdominal wall upper part in epigastrium and left hypochondrium
  2. Extends from duodenum 2nd part to spleen hilum
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4
Q

Parts

A
  1. Head
  2. Neck
  3. Body
  4. Tail
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5
Q

Head site

A

Lies within duodenum concavity with uncinate process projecting to left from its lower part

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6
Q

Head: anterior relations

A
  1. Head proper:
    - Transverse colon
    - Small intestine loops
  2. Uncinate process:
    - Superior mesenteric vessels
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7
Q

Head: posterior relations

A
  1. Head proper:
    - Common bile duct
    - IVC
  2. Uncinate process:
    - Abdominal aorta
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8
Q

Head: superior, right, inferior relations

A

Surrounded by duodenum

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9
Q

Neck

A

Constricted part between head and body

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10
Q

Neck: anterior relations

A

Pyloroduodenal junction, separated by lesser sac

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11
Q

Neck: posterior relations

A

Union of splenic and superior mesenteric veins forming portal vein

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12
Q

Tail

A
  1. Pancreas left end
  2. Run in ileorenal ligament
  3. Related below to spleen lateral end of its hilum
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13
Q

Body

A

Triangular prismatic in cross section having 3 borders and 3 surfaces

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14
Q

Body: anterior surface

A
  1. Related to stomach
  2. Separated by lesser sac
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15
Q

Body: inferior surface

A

Related to:
1. Duodenojejunal flexure
2. Jejunum loops
3. Left colic flexure

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16
Q

Body: posterior surface

A

Related to:
1. Left kidney
2. Left Suprarenal gland
3. Left Psoas major
4. Diaphragm left crus
5. Left sympathetic chain
6. Abdominal aorta origin
7. Superior mesenteric artery origin
8. Splenic vein
9. Left renal vein

17
Q

Superior border

A

Related to:
1. Coeliac trunk
2. Celiac ganglia
3. Splenic artery
Shows upward projection (omental tuberosity) related to:
1. Coeliac trunk (above)
2. Lesser omentum (in front)
With lesser sac in between

18
Q

Body: anterior border

A

Gives attachment to transverse mesocolon

19
Q

Body: inferior border

A

Related to jejunum loops

20
Q

Pancreatic ducts

A
  1. Main pancreatic duct wirsung duct
  2. Accesory pancreatic duct (santorini duct)
21
Q

Wirsung duct

A
  1. Begins in tail
  2. Passes to right in body and head
  3. Unite with common bile duct
  4. Form ampulla of vater
  5. Opens in middle of Posteromedial aspect of duodenum 2nd part at major duodenal papilla being surrounded by sphincter of oddi
22
Q

Santorini duct

A
  1. Begins in head lower part and its uncinate process
  2. Passes upwards in front of main pancreatic and common bile ducts
  3. Open in duodenum 2nd part at minor duodenal papilla 1 cm above major papilla
23
Q

Arterial supply: head

A
  1. Superior pancreaticoduodenal artery: from gastroduodenal artery
  2. Inferior pancreaticoduodenal artery: from superior mesenteric artery
24
Q

Arterial supply: neck, body, tail

A

Pancreatic branches of splenic artery: from coeliac trunk

25
Q

Venous drainage: head

A

Drain into:
1. Superior mesenteric vein
2. Portal vein

26
Q

Venous drainage: body and tail

A

Drain into splenic vein

27
Q

Lymphatic drainage

A
  1. Pancreaticosplenic lymph nodes (around splenic artery)
  2. Coeliac lymph nodes (around coeliac trunk)
  3. Superior mesenteric lymph nodes (along superior mesenteric artery)
28
Q

Nerve supply

A

Autonomic for celiac plexus

29
Q

Applied anatomy: cancer head pancreas

A
  1. IVC: LL edema
  2. Portal vein: portal hypertension
  3. Common bile duct: obstructive jaundice
  4. Pyloric stomach: pyloric stenosis
  5. Duodenum: duodenal obstruction
30
Q

Applied anatomy: pancreatic pain

A
  1. Caused by inflammation or cancer
  2. Felt in epigastrium
  3. Radiate to back
  4. Increase on lying down and relieved on leaning forwards
31
Q

Applied anatomy: gastric or duodenal peptic ulcer

A

May be complicated by pancreatic erosion