anatomy of spleen, surfaces of spleen, peritoneal an visceral relations, blood supply an lymphatic drainage, hilum of spleen , function of spleen, splenomegaly,
2. INTRODUCTION
โข Is soft, wedge shape lymphoid organ lying mainly in left
hypochondrium and partially in epigastrium.
โข It is highly vascular
โข color- dark purple
โข Length- 5inch
โข Weight- 7 ounes
3. โข Ribs: 9th and 10th
โข its not palpable normally
โข Two ends: anterior, posterior
โข 3 borders: superior, inferior and intermediate
โข Two surfaces: diaphragmatic and visceral
4.
5. VISCERAL SURFACE:
โข Fundus of stomach
โข Anterior surface of left kidney
โข Splenic flexure of colon
โข Tail of pancreas
DIAPHRAGMATIC SURFACE:
โข Is related to diaphragm which separates the spleen from the
costodiaphragmatic recess of pleura, lung and 9th -11th ribs of left
side.
6.
7.
8. PERITONEAL RELATION
โข Intra peritoneal
โข Ligaments:
โ Gastrosplenic ligament : hilum of spleen to greater curvature of
stomach
โ Lienorenal ligament: hilum of spleen to anterior surface of the kidney
โ Phrenicocolic ligament: horizontal fold of peritoneum from splenic
flexure of colon to diaphragm. It supports anterior end of spleen.
14. FUNCTIONS
โข Phagocytosis: includes reticular cells, modified reticular cells, free
macrophages, endothelial cells.
โข Haemopoieses: especially during fetal life.
โข Immune response:
โข Storage of RBCs.
15. โข SPLENOMEGALY:
Spleen enlarges obliquely towards right iliac fossa in the direction of 10th rib.
โข SPLENIC PUNCTURE:
Spleen can be puncture during splenomegaly in order to prevent laceration.
Puncture can occur through 8th and 9th intercostal space in the mid axillary line
using a lumbar puncture needle.