Pancreas & Pancreatic Ducts

Question 1

Types of Secretions from pancreas

Answer 1

Mixed
* Endocrine: Insulin, Glucagon, Gastrin
* Exocrine: Pancreatic Juices with digestive enzymes

Question 2

Site of Pancreas

Answer 2

• Epigastrium & left Hypochondrium
• Extending from 2nd part duodenum from right to Hilum of spleen to left

Question 3

Anterior relations of proper head of pancreas

Answer 3

• Transverse colon
• coils of small intestine

Question 4

Posterior relations of proper head of Pancreas

Answer 4

• Common bile duct
• Inferior Vena Cava

Question 5

Superior, right & inferior relation of Proper head of Pancreas

Answer 5

Duodenum

Question 6

Anterior relations of Uncinate process of pancreas

Answer 6

Superior mesenteric vessels

Question 7

Posterior relations of Uncinate process of pancreas

Answer 7

Abdominal Aorta

Question 8

Anterior relations of Neck of Pancreas

Answer 8

Pylo-dudoenal Junction (between them is the lesser sac)

Question 9

Posterior relations of Neck of Pancreas

Answer 9

Union of Splenic Vein with Sup. mesenteric Vein to form portal V

Question 10

Structures related to Anterior surface of body of pancreas

Answer 10

Stomach (between them is the lesser sac)

Question 11

Structures related to inferior surface of body of pancreas

Answer 11

• Coils of jujenum
• Duodeno-jujenal Junction
• Transverse colon

Question 12

Structures related to posterior surface of body of pancreas

Answer 12

• left kidney
• left suprarenal gland
• Left psoas major
• left sympathetic chain
• Splenic Vein
• left renal Vein
• Left crus of Diaphragm
• Abdomina Aorta
• Origin of Superior mesenteric A from Abdominal Aorta

Question 13

Structures related to Superior border of body of pancreas

Answer 13

• Coeliac trunk
• Spleni Artery
• Coelic ganglia

superior border shows omental Tuberosity

Question 14

Structures related to Anterior border of body of pancreas

Answer 14

gives attachement to transverse mesocolon

Question 15

Structures related to inferior border of body of pancreas

Answer 15

loops of jejunum

Question 16

Tail of pancreas run in which ligment

Answer 16

lienorenal (splenorenal)

Question 17

relation of Tail pancreas to Hilum of spleen

Answer 17

related below lateral end of hilum of spleen

Question 18

Formation of Main Pancreatic Duct (duct of wirsung)

Answer 18

1. it begins at the tail of pancreas
2. it runs to the right in the body, neck & head of pancreas
3. It unites with common bile duct to form Ampulla of Vater

Question 19

Main pancreatic duct opens in

Answer 19

posteromedial aspect of 2nd part of duodenum, at Major duodenal Papillae (being surrounded by Sphincter of oddi

Question 20

Formation of Accessory Pancreatic Duct (duct of Santorini)

Answer 20

1. Begins at pancreatic head & uncinate process
2. Passes upwards in front of main pancreatic Duct & common bile duct
3. Opens in Minor Duodenal Papillae 1cm above major papillae

Question 21

Describe Arterial Supply of Pancreas

Answer 21

Head (supplied by pancreaticodudenal Arteries):
1. Superior pancreaticoduodenal A (from gatroduodenal A)
2. Inferior Pancreaticoduodenal A (from Superior mesenteric A)

Neck, body & tail:
* Supplied by Pancreatic branches from Splenic A (indirectly supplied by Coeliac Trunk)

Question 22

Describe venous drainage of Pancreas

Answer 22

• Head: sup. mesneteric V & Portal V
• body & tail: splenic V

Question 23

Lymphatic Drainage of Pancreas

Answer 23

• Pancreaticosplenic LN (around Splenic A)
• Coeliac LN (around coeliac trunk)
• Superior Mesenteric LN (around sup. mesenteric A)

Question 24

Nerve Supply of Pancreas

Answer 24

Autonomic NS from Coeliac Plexus