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Diagnostic Ultrasound - Abdomen and Pelvis

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Pancreas<br />

PANCREAS IN SITU<br />

Anatomy: <strong>Abdomen</strong><br />

Stomach (cut & removed)<br />

Spleen<br />

Gastroduodenal artery<br />

Superior (dorsal)<br />

pancreatic artery<br />

Splenic artery<br />

Great pancreatic artery<br />

Posterior superior<br />

pancreaticoduodenal<br />

artery<br />

Anterior superior<br />

pancreaticoduodenal<br />

artery<br />

Base of transverse<br />

mesocolon<br />

Duodenum<br />

Transverse colon<br />

Duodeno-jejunal junction<br />

Superior mesenteric<br />

artery & vein<br />

Base of small bowel<br />

mesentery<br />

Graphic shows the arterial supply to the body & tail of the pancreas through terminal branches of the splenic artery, which are variable<br />

in number & size. The two largest are usually the dorsal (superior) <strong>and</strong> great pancreatic arteries, which arise from the proximal & distal<br />

splenic artery, respectively. The arteries to the pancreatic head <strong>and</strong> duodenum come from the pancreaticoduodenal arcades that<br />

receive flow from the celiac <strong>and</strong> superior mesenteric arteries. The superior mesenteric vessels pass behind the neck of the pancreas <strong>and</strong><br />

in front of the third portion of the duodenum. The root of the transverse mesocolon <strong>and</strong> small bowel mesentery arise from the surface<br />

of the pancreas <strong>and</strong> transmit the blood vessels to the small bowel & transverse colon. The splenic vein runs along the dorsal surface of<br />

the pancreas. The splenic vessels <strong>and</strong> pancreatic tail insert into the splenic hilum.<br />

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