Pancreas anatomy test 4

Question 0

Where is the pancreas found intra or retroperitoneum?

Answer 0

Retroperitoneum

Question 1

What kind of tissue is pancreatic tissue?

Answer 1

glandular

not smooth

no outside lining to help us see it

Question 2

What are the landmarks around the pancreas?

Answer 2

retroperitoneum

anterior pararenal space

posterior to the lesser sac

Question 3

What is the technical challenge of US pancreas?

Answer 3

ileus-dilate loops of bowel without peristalsis (blockage of bowel)

Question 4

What organ is the anterior boundry of the panc?

Answer 4

stomach

posterior: Ao and IVC

Question 5

What lies in the anterior pararenal space?

Answer 5

the pancreas

Question 6

What is the typical measurement of the panc?

Answer 6

12cm x 2cm

Question 7

What are the four sections of the panc?

Answer 7

head, neck, body, and tail

Question 8

What kind of position does the panc lie?

Answer 8

horizontal-oblique line

from the concavity of the duodenum to the hilum of the spleen

Question 9

Where does the head of the panc lie?

Answer 9

anterior to the ivc and left renal vein

inferior to the caudate lobe and portal vein

finish slide 9

Question 10

What artery is above the panc?

Answer 10

the celiac trunk (superior)

find seagull sign and angle down to see panc

Question 11

What structure does the superior mesenteric vein cross?

Answer 11

crosses anterior to the uncinate process of the head of the gland and posterior to the neck and body of the pancreas

Question 12

What is the uncinate process?

Answer 12

the small, curved tip at the end of the head of the pancres

lies anterior to the inferior vena cava and posterior to the superior mesenteric vein

Question 13

What passes through a groove posterior to the pancreatic head and the gastroduodenal artery?

Answer 13

the common bile duct

Question 14

What vessel lives in the pancreatic notch?

Answer 14

SMV

notch - space between head and uncinate process

Question 15

What is found directly anterior to the portal-splenic confluence or SMV?

Answer 15

the neck of the panc

Question 16

What is formed posterior to the neck by the junction of the SMV and SV?

Answer 16

The portal vein

Question 17

What part of the panc is the largest part?

Answer 17

the body

lies posterior to the stomach and anterior to the origin of the portal vein

Question 18

What part of the panc rests anteriorly to the Ao , the origin of the SMA the Left renal vessels, left adrenal glands and left kidney?

Answer 18

The body of the pancreas

Question 19

What is the superior border of the panc body?

Answer 19

the tortuous

splenic artery

Question 20

What courses the posteromedial surface of the pancreas to join the main portal vein?

Answer 20

the splenic vein

Question 21

Where does the tail of the pancreas lie?

Answer 21

anterior to the left kidney, close to the spleen and left colic flexure

Question 22

The splenic vein forms the _________ border, and the _______ forms the superoanterior border.

Answer 22

posterior

stomach

Question 23

What is Wirsung’s duct?

Answer 23

the primary duct of the panc extending the ENTIRE length of the gland

receives tributaires from lobules at the right angles and enters the medial second part of the duodenum with the cbd at Vater’s ampulla

Question 24

What is Santorini’s duct?

Answer 24

a secondary duct that drains the upper anterior head

it enters the duodenum at the minor papilla approx 2cm (smaller duct) at ampulla of vater.

Question 25

What are the measurements for the panc?

Answer 25

Head < 2.5cm

tail < 2.0 cm

Question 26

What is the echogenicity of the pancreas?

Answer 26

> liver

</> spleen (depends on fatty/fibrous texture)

Question 27

What is the echotexture of the pancreas?

Answer 27

homogeneous

Question 28

What is the surface of the pancreas look like…

Answer 28

smooth to slightly lobular (islets of langerhans)

Question 29

Where does the panc get its blood from?

Answer 29

splenic artery and pancreaticoduodenal arteries

venous drainage is through tributaries of the SV and SMV