Pancreatic Anatomy Relationship Flashcards
Head of the pancreas is _____ to the IVC
anterior
Head of the pancreas is ____ to the duodenum
medial
CBD is ______ to the pancreatic head
posterior/lateral
GDA is ____ to the pancreatic head
anterior/lateral
SMA and SMV are ____ to the neck of the GB
posterior
SMA and SMV are ______ to the uncinate process
anterior
Pancreatic tail is located _____ to the splenic hilum
anterior/medial
Ao is ____ to the body of the pancreas
posterior
Celiac axis arises from the ao at the ___ border of the pancreas
superior
SMA arises from the AO at the ____ border of the pancreas
inferior
Celiac axis gives off the left gastric artery and then divides into the
common hepatic artery and splenic artery
The splenic artery follows a tortuous course along the _____ border of the body and tail of the pancreas
superior
The common hepatic artery divides into the
proper hepatic and the GDA
The proper hepatic artery travels ____ toward the liver ____ to the portal vein and ___ of the bile duct
superiorly
anterior
left
The right gastric artery is a branch of the
proper hepatic artery
GDA travels _____ to the first portion of the duodenum than ___ to the head of the pancreas
posterior
anterior
GDA divides into the
right gastroepiploic
superior pancreaticoduodenal artery
The superior mesenteric artery is located
inferior to the pancreas
anterior to the uncinate process
anterior to the 3rd portion of the duodenum
The splenic vein is located on the _____ aspect of the pancreas
posterior
The splenic vein joins the sma to create the
main portal vein
The smv is located
right of sma
anterior to the 3rd portion of the duoneum
anterior to the uncinate process
IMV drains the
left lower quadrant sigmoid and descending ao
IMV drain directly into the
splenic vein
CBD travels ___ to teh 1st portion of the duodenum
posterior
head of the pancreas to lie to the ___ of the main panc duct
right
CBD and the duct of wirsung join to become
hepaticopancreatic ampulla (ampulla of Vater) which opens the 2nd porton of the duodenum at the major papilla
The accessory panc duct (duct of santorini) opens into the 2nd portion of the duodenum at the minor papilla, approx 2cm ____ to the ampulla of Vater
proximal
_____% of the pop. has complete regression of the duct of Santorini
50
The duodenum is divided into 4 portions
1st and 3rd are transverse
2nd and 4th are long
The normal pancreatic duct is abnormal if it is >
2mm
Panc duct dilation is typically due to stones within Wirsung duct from
chronic pancreatitits or a stone at the ampulla of Vater
Strutures in contact with pancreatic head
- IVC
- CBD
- Ampulla of Vater (terminal end of CBD)
- GDA
- Duodenal C loop (2nd portion)
