Pancreas and Spleen

Question 1

The hepatoduodenal ligament is also known as

Answer 1

The Epiploic foramen of Winslow

Question 2

What are the parts of the pancreas?

Answer 2

Head

Neck

Body

Tail

Ulcinate process

Question 3

What lies POSTERIOR to the head of the pancreas?

Answer 3

IVC

Right renal artery

Both renal veins

Question 4

Where does the bile duct lie

Answer 4

In the groove on the posterosuperior surface of the head of the pancreas

Question 5

Which part of the duodenum does the bile duct enter?

Answer 5

2nd portion of the duodenum

Question 6

What does the uncinate process lie in front of and behind?

Answer 6

Behind superior mesenteric vessels

In front of the aorta and IVC

Question 7

What part of the pancreas is the site of passage of the superior mesenteric vessles?

Answer 7

The neck

Question 8

The neck of the pancreas lies directly over the

Answer 8

Portal vein

Question 9

The body of the pancreas lies

Answer 9

To the left of the superior mesenteric vessels

Over the aorta and L1/L2

Question 10

The posterior surface of the body of the pancreas is in contact with

Answer 10

The aorta, SMA, left adrenal, left kidney, and renals

Question 11

What is the largest part of the pancreas?

Answer 11

Body

Question 12

The tail of the pancreas passes between

Answer 12

Layers of splenorenal ligament

Question 13

The main pancreatic duct is also known as

Answer 13

The Duct of Wirsung

Question 14

Main pancreatic duct joins the common bile duct at

Answer 14

The hepatopancreatic ampulla of Vater which opens at major duodenal papilla

Question 15

The Main pancreatic duct (Duct of Wirsung) starts at __ and ends at ___

Answer 15

Starts at tail of pancreas and runs to the head

Question 16

The minor pancreatic duct is also known as

Answer 16

The duct of Santorini

Question 17

Where does the minor pancreatic duct empty

Answer 17

Minor duodenal papilla

Question 18

Where/how do the major and minor duodenal papilla lie?

Answer 18

In the 2nd part of the duodenum (descending part) with the minor papilla lying superior to the major papilla

Question 19

What is the normal anatomy of the Duct of Wirsung and the Duct of Santorini?

Answer 19

The common bile duct comes into the second portion of the duodenum and the major duct will ALWAYS join the common bile duct, no matter what the variation

Question 20

Blood supply to the pancreas- which connect the splenic artery to the inferior pancreatic artery

Answer 20

Caudal (closest to spleen)

Great pancreatic

Dorsal pancreatic (closest do duodenum)

Question 21

The head and the tail of the pancreas have ___ blood supplies

Answer 21

Different

Question 22

Embryology of the pancreas- dorsal bud and ventral bud become

Answer 22

Dorsal bud gives rise to the duct of Santorini and becomes the body and tail of the pancreas

Ventral bud gives rise to duct of Wirsung and becomes head and uncinate process

Question 23

__ bud connects directly to the common bile duct

Answer 23

Ventral

Question 24

Ventral bud comes from the

Answer 24

Hepatic diverticulum

Question 25

Which bud is bigger during development

Answer 25

Dorsal bud, even though it gives rise to the minor duct

Question 26

Arteries/veins of the spleen

Answer 26

Only has splenic artery and vein

Question 27

Red pulp vs. white pulp volume

Answer 27

Red pulp = 75%

White pulp = 25%

Question 28

Where do the splenic artery and vein lie?

Answer 28

In the splenal-renal ligament

Question 29

What can be found in the gastro-splenic ligament?

Answer 29

Short gastrics and left gastro-omenal vessels coming off the spelnic artery