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Exploration of liver, gall bladder, pancreas, duodenum and spleen

Relations along superior border of pancreas

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Image #146-1
Bassett ImageDiagram Image
Legend Image
Exploration of liver, gall bladder, pancreas, duodenum and spleen
Relations along superior border of pancreas
The pancreas has been deflected downward slightly and superior parts of the duodenum (13) has been pulled outward and downward. Massed fibres of the celiac plexus surround the origins of the hepatic, left gastric and splenic arteries and thus obscure the celiac trunk (25).
1 . Hepatic vein
2 . Liver (pointer on margin of dissected area)
3 . Upper pointer: Portal vein (left branch) Lower pointer: Left hepatic duct
4 . Right hepatic duct
5 . Filament of hepatic plexus
6 . Common hepatic duct
7 . Cystic duct
8 . Portal vein
9 . Proper hepatic artery
10 . Common bile duct
11 . Upper pointer: Gastroduodenal artery Lower pointer: Superior pancreaticoduodenal artery
12 . Gallbladder (fundus)
13 . Duodenum (reflected)
14 . Caudate lobe of liver
15 . Abdominal part of esophagus (cut across)
16 . Diaphragm (covered by fascia)
17 . Spleen
18 . Pancreaticospleenalic lymph node (note other nodes and lymphatic vessels along course of splenic artery)
19 . Branch of splenic artery (accompanied by filaments of splenic plexus)
20 . Gastric plexus
21 . Left gastric artery and vein
22 . Splenic artery
23 . Tail of pancreas
24 . Upper pointer: Vestibule of omental bursa Lower pointer: Hepatic lymph node
25 . Location of celiac trunk (surrounded by nerves)
26 . Upper pointer: Common hepatic artery Lower pointer: Portal vein
27 . Body of pancreas
28 . Jejunum (cut across)
29 . Superior mesenteric artery and vein
30 . Ascending part of duodenum