Pancreas Liver and Spleen Flashcards
What is enclosed by the head of the pancreas*
what ends by the spleen
SMA and SMV
tail of pancreas ends at spleen
uncinate process
prolongation of head of lower portion of pancreas
the portal vein is formed by*
union of SMV and splenic vein behind the head of the pancreas
main pancreatic duct drains*
AKA
body and tail — into ampulla of vater
AKA duct of wirsung
accessory pancreatic duct drains
AKA
head of pancreas, drains into the lesser duodenal papilla ABOVE the main pancreatic duct
duct of Santorini
location of splenic artery WRT pancreas*
splenic artery runs on upper (superior surface of the pancreas)
location of splenic vein WRT pancreas*
splenic vein lies behind pancreas
the spleen is suspended by which ligaments*
gastrosplenic ligament
splenorenal ligament
contents of gastrosplenic ligament**
contains short gastric and left gastroomental vessels
and accessory spleen when present
contents of splenorenal ligament**
contains splenic vessels and tail of pancreas
Accessory spleen* found*
10% of population
found between gastrosplenic ligament
what are the tributaries of the splenic vein**
aka indirect tributaries of portal system
- IMV
- L gastroomental V
- Short gastric V
- pancreatic V
location of gallbladder*
between the right costal margin and lines semilunaris at the transpyloric plane (L1) RUQ
near the quadrate lobe
Quadrate and Caudate lobes*
BOTH from R part of liver
Quadrate lobe - near costal margin (gallbladder)
caudate- near the diaphragm and closer to hepatic vessels
Bare area of liver*
area that is NOT covered by peritoneum
the IVC is associated with with- on posterior aspect of R lobe
falciform ligament
connects liver to anterior abdominal wall
free edge- is ligamentum teres– contains obliterated umbilical vein
once it reaches liver it changes names ***
to the A/P coronary ligament
and R/L triangular ligament
common hepatic duct made by
R L hepatic ducts
common bile duct made by
cystic duct and common hepatic duct
common bile duct joins what
joins main pancreatic duct and exits at the hepatopancreatic ampulla in the second part of the duodenum
borders of triangle of Calot*
inferior border of liver
common hepatic duct
cystic duct
content of triangle of Calot*
cystic artery
and lymph node of Calot that can get inflamed in cholecystitis
referred pain of gallbladder
RUQ- where gallbladder is located
referred pain of gallbladder and liver
Right shoulder and Right scapular area
upper back
referred pain of stomach
back midline within the scapulas
