ANATOMY OF THE PANCREAS AND
SPLEEN
Elongated
Exocrine & structure lies
endocrine in the
gland epigastrum &
left upper
quadrant.
Soft, Crosses the
lobulated, transpyloric
retroperitone plane
al organ.
Divided into:
⮚ Head
▪ disc shaped. NECK
▪ lies within the
concavity ( C shaped)
of the duodenum.
⮚ Neck:
▪ constricted portion.
▪ connect head to body.
▪ lies in front of the
beginning of the portal v.
& the origin of the sup.
mes. art. from the aorta.
⮚ Body:
▪ runs upward & to the Lt.
▪ somewhat triangular in
cross section.
⮚ Tail:
▪ pass forward in the
splenorenal lig.
▪ in contact with the hilum
of the spleen.*
ANTERIOR
Transverse RELATION
colon
&
mesocolon
Lesser sac Stomach
POSTERIOR
RELATION
Bile duct
Portal & splenic vein
IVC
Aorta
Origin of superior mesenteric
artery
Left psoas muscle
Left suprarenal gland
Left kidney
Hilum of spleen
PANCREATIC DUCT
Main pancreatic duct (of
Wirsung):
▪ begins at the tail.
▪ runs along the length of the
gland.
▪ receives numerous Accessory
pancreatic duct
tributaries.
Main pancreatic duct
▪ Connects with the bile duct
to form the
hepatopancreatic duct =
ampulla of Vater
▪ Flow through of the
ampulla of Vater is
controlled by the Sphincter
of Oddi.
▪ opens into the 2nd part of
the duodenum at about
its middle with the bile
duct on the major
duodenal papilla.
Accessory duct (of Santorini):
▪ drains the upper part of the gland.
▪ opens into the duodenum a short distance above the main
duct on the minor duodenal papilla.
BLOOD SUPPLY OF THE PANCREAS
Arteries:
▪ splenic art.
▪ sup. & inf.
pancreaticod
uodenal art.
Veins:
▪ correspond to
the arteries &
drain to the
portal system.*
LYMPH DRAINAGE OF THE PANCREAS
lymph nodes along the arteries & drain into
the celiac & sup. mes. nodes.
NERVE SUPPLY OF THE PANCREAS
Sympathetic (greater & lesser
splanchnic nerves T5-T12) &
THE
SPLEEN
Remove
Filter function
by the effete
macrophages platelets &
Immune RBC
Pitting
function
process
(IGM)
(repair) of
RBC
Haemopoiesis Iron
(in the
reutilization
embryo)
Reservoir Sequestration
function of platelets
Encapsulated,
purplish, friable oval shaped & has
organ, situated in a notched ant.
the Lt. border.
hypochondrium.
lies just beneath
the Lt. half of the about 150gm in
diaphragm, along adult & atrophies
the long axis of 9th in old age.
, 10th, & 11th ribs.
surrounded by
peritoneum.
⮚ Gastrosplenic
ligament (omentum),
pass from spleen to the
greater curvature of the
stomach carrying the
short gastric & Lt.
gastroepiploic vessels.
⮚ Splenorenal ligament
from spleen to the Lt.
kidney carrying the splenic
art. & the tail of the
pancreas.
RELATION
ANTERIOR
Stomach
Tail of pancreas
Left colic flexure
POSTERIOR
Diaphragm
Left pleura
Left lung
9th, 10th, & 11th ribs
Hilum of spleen
BLOOD SUPPLY OF THE SPLEEN
⮚ Splenic artery
largest branch of the celiac
artery, has a tortuous
course & div. to about 6
branches & enter the spleen
at its hilum.
⮚ Splenic vein
leave the hilum & joins the
superior mesenteric vein just
behind the neck of the pancreas to
form the portal v.
LYMPHATIC DRAINAGE AND NERVE SUPPLY OF THE SPLEEN
Lymph Drainage
few lymph nodes along the course of the splenic art.
which drain to the celiac nodes.
Nerve supply
through celiac plexus.
