Pancreas Dr Okanlawon

Question 1

The pancreas is — shaped
— to — cm in length
— to — cm broad
— to — cm thick
— to — g in weight

Answer 1

15-20 cm long,
• 2.5-3.8 cm broad
• 1.2-1.8 cm thick
• weighs about 90 g.
(60-100g)

Question 2

The lowest point lies at L— , highest point lies at L—

Answer 2

L2
L1

Question 3

The pancreas lies in ——- and —— regions

Answer 3

Epigastric and left hypochondriac

Question 4

The pancreas extends from——- to ——

Answer 4

The c loop of the duodenum in the Epigastrium to the hilum of the spleen in the left hypochondrium

Question 5

List the parts of the pancreas

Answer 5

Head, neck, body, tail

Question 6

Main pancreatic duct is also called——, accessory pancreatic duct is also called—

Answer 6

Duct of wirsung
Duct of santorini

Question 7

HEAD OF THE PANCREAS
POSITION
———-
RELATIONS
ANTERIOR:
————
POSTERIOR:
———-
LATERAL:
————-
SUPERIOR: ———-
INFERIOR: ————

Answer 7

HEAD OF THE PANCREAS
POSITION
1. In the concavity of the duodenum
2. Has uncinate process
RELATIONS
ANTERIOR:
1. Transverse colon
3. Sup mesenteric ves ant to Uncinate process
POSTERIOR:
1. Bile duct
2. Inferior vena cava
3. Aorta behind the uncinate process
LATERAL:
1. 2nd part of the duodenum
2. Sup & inf pancreaticoduodenal vessels
SUPERIOR: 1st part of the duodenum
INFERIOR: 3rd part of the duodenum

Question 8

NECK OF THE PANCREAS
POSITION: it is the part in front of 2 structures
1. ————
2. ———
RELATIONS ANTERIOR:
————
POSTERIOR:
———

Answer 8

NECK OF THE PANCREAS
POSITION: it is the part in front of 2 structures
1. Origin of the portal vein
2. Origin of the superior mesenteric artery
RELATIONS ANTERIOR:
Lesser sac + 1stinch of duodenun
Gastroduodenal artery
POSTERIOR: 3V + 2A
1. Termination of Splenic V
2. Termination of Sup Mes V
3. Beginning of the Portal Vein
3. Aorta
3. Origin of Sup Mesenteric Artery

Question 9

Body of the pancreas

ANTERIOR SURFACE
———-
INFERIOR SURFACE
———-
POSTERIOR SURFACE
—————-

Answer 9

ANTERIOR SURFACE
1. Stomach & Lesser sac
2. Splenic artery along the upper border
3. Transverse mesocolon along the anterior border
INFERIOR SURFACE
1. Greater sac
2. Small intestine: jejunum
POSTERIOR SURFACE
1. Left crus of diaphragm
2. Left sympathetic chain
3. Left psoas
4. Left suprarenal gland
5. Left kidney
6. 3 Veins: Splenic V, Inferior mesenteric V & Lt Renal u

Question 10

TAIL OF THE PANCREAS
1. Passes through the —— ligament
2. Related to the visceral surface of the spleen below the lateral end ofthe ——-

Answer 10

TAIL OF THE PANCREAS
1. Passes through the lienorenal ligament
2. Related to the visceral surface of the spleen below the lateral end ofthe hilum

Question 11

ARTERIAL SUPPLY

Answer 11

ARTERIAL SUPPLY
By celiac artery except the lower ½ of the head & the uncinate process:
1. Superior pancreaticoduodenal artery: upper ½ of the head
2. Inferior pancreaticoduodenal artery: lower ½ of the head & the uncinate process

Question 12

NERVE SUPPLY

Answer 12

NERVE SUPPLY
1. Celiac plexus: all except the lower ½ ofthe head & the uncinate process
2. Superior mesenteric plexus:
lower ½ of the head & the uncinate process

Question 13

Venous drainage

Answer 13

Celiac trunk: suprapancreatic, retropancreatic, celiac vein

Inferior mesenteric vein: infra pancreatic

Question 14

LYMPH DRAINAGE

Answer 14

LYMPH DRAINAGE
1. Upper ½ of the head, Neck, Body & Tail:
celiac lymph nodes
2. Lower ½ of the head & Uncinate Process:
superior mesenteric lymph nodes

Question 15

Lymph nodes

Answer 15

Superior
Anterior
Inferior
Posterior
Splenic