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AAAC19 21/5/05 10:39 AM Page 46
19 The pancreas and spleen

Inferior vena cava Coeliac artery
Portal vein Left gastric artery
Common bile duct
Hepatic artery
Right gastric artery
Splenic artery
Gastroduodenal artery
Right gastroepiploic artery

Superior
pancreaticoduodenal artery

Inferior
pancreaticoduodenal artery
Inferior mesenteric
artery and vein
Superior mesenteric
artery and vein

Fig.19.1
The relations of the pancreas

Right and left hepatic ducts Right hepatic artery
Cystic duct
Cystic artery
Neck
Common bile duct
Body
Pancreatic duct
Gall bladder
(of Wirsung)
(displaced)
Fundus
Accessory duct
Tail of pancreas
(of Santorini)
Body
Duodenal papilla Neck Diaphragm
(of Vater) Spleen

Left kidney
Uncinate process
and suprarenal
Superior Ribs 9,
mesenteric vessels 10 and 11
Fig.19.2 Splenic
The ducts of the pancreas and the biliary system artery
Splenic flexure
Tail of of colon
pacreas

Fig.19.3
The relations of the spleen

46 Abdomen and pelvis