PANCREAS, SPLEEN AND LIVER
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1
The pancreas is both an and gland
The pancreas is both an exocrine and endocrine gland
2
The pancreas is a except for the
The pancreas is a retroperitoneal organ except for the tail
3
is a prolongation of the
lower (ventral) portion of the pancreas and the
left part of the head.
lower (ventral) portion of the pancreas and the
left part of the head.
Uncinate Process is a prolongation of the
lower (ventral) portion of the pancreas and the
left part of the head.
lower (ventral) portion of the pancreas and the
left part of the head.
4
TEST QUESTION The and are enclosed by the head of
the pancreas
the pancreas
TEST QUESTION The SMA and SMV are enclosed by the head of
the pancreas
the pancreas
5
The tail of the pancrea ends near the
The tail of the pancrea ends near the spleen
6
is a prolongation of the
lower (ventral) portion of the pancreas and the
left part of the head.
lower (ventral) portion of the pancreas and the
left part of the head.
Uncinate Process is a prolongation of the
lower (ventral) portion of the pancreas and the
left part of the head.
lower (ventral) portion of the pancreas and the
left part of the head.
7
The runs on the superior border of the pancreas and the runs posterior
The splenic artery runs on the superior border of the pancreas and the splenic vein runs posterior
8
THE PORTAL VEIN IS FORMED BY THE UNION OF
THE AND BEHIND THE
THE AND BEHIND THE
THE PORTAL VEIN IS FORMED BY THE UNION OF
THE SMV AND SPLENIC VEIN BEHIND THE
HEAD OF THE PANCREAS
THE SMV AND SPLENIC VEIN BEHIND THE
HEAD OF THE PANCREAS
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Main Pancreatic Duct drains the and
and
and
Main Pancreatic Duct drains the body and
tail and 2nd portion of duodenum
tail and 2nd portion of duodenum
10
The Accessory Pancreatic Duct drains the and
The Accessory Pancreatic Duct drains the head and second part of duodenum
11
The and come together at the
The accessory duct and accessory duct- Duct of Santorini come together at the hepatopancreatic ampulla-duct of Wirsung
12
The accessory pancreas opens in the 2nd part of the duodenum in the lesser duodenal papilla the main
The accessory pancreas opens in the 2nd part of the duodenum in the lesser duodenal papilla ABOVE the main pancreatic duct
13
The pancreas is the stomach
The pancreas is behind the stomach 
14
What 4 structures is the pancreas anterior to
1.
2.
3.
4
1.
2.
3.
4
What 4 structures is the pancreas anterior to
1. IVC
2. Aorta
3. Left crus of diapgram
4. Left kidney
1. IVC
2. Aorta
3. Left crus of diapgram
4. Left kidney
15
The splenic artery runs on the surface
of the pancreas, where as the splenic vein lies the
pancreas
of the pancreas, where as the splenic vein lies the
pancreas
The splenic artery runs on the upper superior surface
of the pancreas, where as the splenic vein lies behind the
pancreas
of the pancreas, where as the splenic vein lies behind the
pancreas
16
Blood supply of pancreas is the and
Blood supply of pancreas is the celiac and superior mesenteric
17
The nerve supply of the pancreas
1.
2.
3.
1.
2.
3.
The nerve supply of the pancreas
1. Vagus
2. Greater sphlanchnic
3. Celiac and superior mesenteric plexuses
1. Vagus
2. Greater sphlanchnic
3. Celiac and superior mesenteric plexuses
18
The spleen is a lymph organ found between ribs
The spleen is a lymph organ found between ribs 9-11
19
Longest portion of the spleen is rib
Longest portion of the spleen is rib 10
20
The spleen is located in the and
region posterior to the and anterior to
the superior pole of the .
region posterior to the and anterior to
the superior pole of the .
The spleen is located in the LUQ and left hypochondriac
region posterior to the stomach and anterior to
the superior pole of the left kidney.
region posterior to the stomach and anterior to
the superior pole of the left kidney.
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Crus of diaphram
22
Gastrosplenic ligament (contains the and ). And accessory spleen – when present
Gastrosplenic ligament (contains the short gastric and left
gastroepiploic vessels). And accessory spleen – when present
gastroepiploic vessels). And accessory spleen – when present
23
• Splenorenal ligament (contains the and th )
• Splenorenal ligament (contains the splenic vessels and the tail
of the pancreas)
of the pancreas)
24
Some people have an (not present in everyone!)
Some people have an acessory spleen (not present in everyone!)
25
TEST QUESTION
Splenorenal ligament containing and ( area)
Short gastric vessels and lesser gastro-omental vessels have a that transmits them. ( area)
Splenorenal ligament containing and ( area)
Short gastric vessels and lesser gastro-omental vessels have a that transmits them. ( area)
TEST QUESTION
Splenorenal ligament containing spleneic vessels and tail of pancreas (renal area)
Short gastric vessels and lesser gastro-omental vessels have a gastrospenic ligament that transmits them. (gastric area)
Splenorenal ligament containing spleneic vessels and tail of pancreas (renal area)
Short gastric vessels and lesser gastro-omental vessels have a gastrospenic ligament that transmits them. (gastric area)
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GASTROSPLENIC
LIGAMENT
( and )
And, accessory spleen –
when present
LIGAMENT
( and )
And, accessory spleen –
when present
GASTROSPLENIC
LIGAMENT
(Short gastric and left
gastroepiploic vessels)
And, accessory spleen –
when present
LIGAMENT
(Short gastric and left
gastroepiploic vessels)
And, accessory spleen –
when present
27
SPLENORENAL LIGAMENT
(
)
(
)
SPLENORENAL LIGAMENT
(Splenic vessels
Tail of the pancreas)
(Splenic vessels
Tail of the pancreas)
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The spleen is commonly found between the
The spleen is commonly found between the gastrosplenic ligament
29
The splenic vein receives:
•
•
•
•
•
•
•
•
The splenic vein receives:
• IMV
• Left gastroepiploic vein
• Short gastric veins
• Pancreatic veins
• IMV
• Left gastroepiploic vein
• Short gastric veins
• Pancreatic veins
30
Blood supply of spleen
Splenic artery
31
NERVE SUPPLY of SPLEEN:
•
•
•
•
•
•
NERVE SUPPLY of SPLEEN:
• Vagus
• Celiac plexus
• Greater splanchnic
• Vagus
• Celiac plexus
• Greater splanchnic
32
The lympathic drainage of spleen is into the
The lympathic drainage of spleen is into the liver
33
abodominal aorta is and to spleen
abodominal aorta is left and anterior to spleen