Pancreas and Spleen

Question 1

What are the different parts of the pancreas?

Answer 1

uncinate process (loops round post. to sup. mesenteric vessels; Head;neck;tail

Question 2

What are the relations of the pancreas?

Answer 2

ANT: stomach, transverse colon
POST: potra hepatis structures, SMA and SMV, aorta, splenic vein, kidney, spleen

Question 3

What is the pancreas’ blood supply?

Answer 3

MIXED BLOOD (despite being a foregut structure)

Common hepatic artery- gastroduodenal- superior pancreatoduodenal (ant. and post. branch)
Splenic artery- dorsal pancreatic and greater pancreatic

SMA- inferior pancreatoduodenal artery

Question 4

What is venous, lymphatic and ANS distribution for the pancreas?

Answer 4

Venous- portal vein through splenic or SMV

Lymph: coeliac nodes and SM nodes (mainly coeliac)

ANS: Coeliac and to a degree SM plexi so greater and lesser splachnic with vagus

Question 5

Where is the spleen located?

Answer 5

Left hypochondrium, behind ribs 9-11

Question 6

What are the ligaments of the spleen and what vessels do they carry?

Answer 6

Gastrosplenic: Stomach to spleen, carries short gastric and gastro-omental vessels

Lienorenal- spleen to kidney, contains splenic vessels and the tail of the pancreas

Question 7

What is splenomegaly?

Answer 7

Enlarged spleen due to a multitude of reasons

infection, cancer (lymphoma),