The Pancreas and Spleen Flashcards
Where is the pancreas located?
Posterior to the stomach
Is the pancreas intraperitoneal or retroperitoneal?
Retroperitoneal
Where does the pancreas extend from?
From duodenum on the right across the posterior abdominal wall to the spleen on the left.
Which part of the pancreas is intraperitoneal?
The tail
What level is used to identify the pancreas?
L1
What is the pancreas divided into/
- Head
- Body
- Neck
- Tail
- Uncinate process
Where does the head of the pancreas lie?
Within the curve of the duodenum
What vessels cross the head of the pancreas?
The superior mesenteric artery and vein.
Where does the uncinate process lie and wrap?
Lies adjacent to the ascending part of the duodenum and wraps behind the SMA and SMV
What does the tail of the pancreas extend into?
Extends into the Splenorenal ligament and abuts the spleen.
What are the three anterior branches of the aorta that supply the GI tract and related structures?
- Coeliac Trunk
- Superior Mesenteric Artery
- Inferior Mesenteric Artery
What organs are supplied by the Coeliac trunk?
Ab. eosophagus Stomach Duodenum Liver Pancreas Gall bladder Spleen
What is supplied by the Superior Mesenteric Artery?
ACARDS Duodenum Small Intestine Caecum Appendix Ascending colon Right 2/3 of transverse colon
What is supplied by the inferior mesenteric artery?
LARDS Left 1/3 of transverse colon Descending colon Sigmoid colon Rectum Anal canal
Where does the 20-25% of the livers blood supply come from?
From the hepatic branch of the coeliac artery.
Where does blood flow through in the liver before being returned to the heart by the Inferior vena cava.
liver sinusoids
What is the arterial supply of the body and tail of the pancreas?
The Splenic artery from celiac trunk
What is the arterial supply of the head of the pancreas?
Superior pancreatico-duodenal (common hepatic) and inferior Pancreatico-duodenal arteries (superior mesenteric)
Why is ischemia to the pancreas from vascular obstruction is uncommon?
Due to the dual supply
What is venous drainage of pancreas? x 2
Pancreatoduodenal veins (to SMV) and splenic vein to the portal vein