c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Left-Sided Abdominal Relationships: 7

A D V E R T I S E M E N T

   
 

The body of the pancreas (see pancreas anatomy) is draped across the body of L1, between the celiac trunk and SMA. It is subject to crush injury against the vertebral column with blunt abdominal trauma.      

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Left-Sided Abdominal Relationships: 8

A D V E R T I S E M E N T

   
 

The third portion of the duodenum is draped across the second and third lumbar vertebrae. The superior anastomosis of a graft to repair an infrarenal abdominal arotic aneurysm must be separated by tissue from the overlying third portion of the duodenum to decrease the risk of aortoduodenal fistula. The fourth portion of the duodenum is held up beneath the tail of the pancreas by the ligament of Treitz, which originates at the left crus of the diaphragm. Jejunum begins beyond Treitz.     

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Left-Sided Abdominal Relationships: 9

A D V E R T I S E M E N T

   
 

The spleen (see splenic anatomy) occupies a high posterolateral position beneath the rib cage. The upper pole is near the esophageal hiatus. The medial surface of the spleen is divided by the hilum into an anterior gastric concavity and a posterior renal concavity. The tail of the pancreas lies within a few centimeters of the lower end of the hilum.      

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This page was last modified on 4/30/2002.