SlideShare a Scribd company logo
SPLEEN
BY
DR ANKUSH KHEDKAR
ASST. PROF. IN RACHANA SHARIR
(प्लीहा)
• INTRODUCTION :
1. Spleen is a lymphatic organ connected to
the blood vascular system.
2. It acts as a filter for blood and plays an
important role in the immune responses
of the body.
• LOCATION : • The Spleen is a wedge-
shaped (Tetrahedral)
organ lying mainly in left
hypochondrium and
partly in epigastrium.
• It is wedged between the
fundus of the stomach
and the diaphragm.
DIMENSIONS
• The spleen is soft and highly vascular and Dark purple in colour
• The size and weight of the spleen are markedly variable
• Spleen is 1 inch (2.5 cm) thick
• 3 inch (7.5 cm) broad
• 5 inch (12.5 cm) long
• Weight- 7 ounce ( 200 gm)
• It is related to 9 to 11 ribs
• 1, 3, 5, 7, 9, 11 (memory trick)
Position (Axis of spleen)
• The spleen lies obliquely along the long axis of the 10th rib
• Thus it is directed downwards, forwards and laterally.
• Making an angle of about 45 degrees with the horizontal
plane
• EXTERNAL FEATURES :
The Spleen has Two ends, Three borders and Two surfaces, Two angle and Hilum
• TWO ENDS :
1. Anterior end :- it is expanded and is more like a border. It is directed downwards and forwards and
reaches the mid axillary line.
2. Posterior end :- it is rounded. It is directed upwards, backwards and medially, and it rests on the
upper pole of the left kidney
• THREE BORDERS :
1. Superior border :- it is notched near the anterior end.
2. Inferior border :- it is rounded.
3. Intermediate border :- it is also rounded and is directed to the right
• TWO SURFACES :
1. The diaphragmatic surface :- it is convex and smooth. The diaphragmatic surface Is related to
the diaphragm which separates the Spleen from the costodiapgramatic recess of pleura, lung
and 9th ,10th and 11th ribs of the left side.
2. The Visceral surface :- it is concave and irregular.
• TWO ANGLE
1) Anterobasal angle- It is the junction of superior border with Anterior end
 It is the forward projecting part of the spleen
 This angle is called as “Clinical angle of spleen”.
2) Posterobasal angle- junction of inferior border with
Anterior end.
• HYLUM
Hilum lies between Superior and intermediate border
RELATION
• Peritonial relation
• The spleen is surrounded by peritoneum and suspended by following ligament.
1. Gastrosplenic ligament:- extends from the hilum of the spleen to the greater curvature of
the stomach
2. Lienorenal ligament :- extends from the hilum of the spleen
to the anterior surface of the left kidney.
1. The phrenicocolic ligament:- it is not attached to the spleen ,
but supports its anterior end. It is a horizontal fold of
peritoneum extending from splenic flexure of
colon to the diaphragm.
Visceral relation
• The visceral surface is related to the fundus of the stomach, anterior surface of left kidney, the
splenic flexure of the colon and the tail of the pancreas.
1. Gastric impression :- For the fundus of the stomach
Lies between the superior and intermediate border.
It is the largest and most concave impression.
2. Renal impression :- for left kidney, lies between inf. And Intermed. Border
3. Colic impression :- For the splenic flexure of the colon
4. Pancreatic impression:- for the tail of the pancreas.
lies between hilum and colic impr.
5. Hilum:- It transmit the splenic vessels and nerves ,
and provide attachment to
the gastrosplenic and lienorenal ligament
SUPPLY
• ARTERIAL SUPPLY
1. Splenic artery B/O Coeliac trunk
• VENOUS DRAINAGE
Splenic vein drain into portal vein
• LYMPHATIC DRAINAGE
Pancreatosplenic lymphnodes
• NERVE SUPPLY-
Sympathetic nerves which derived from the coeliac plexus
• Functions of Spleen :
1. Phagocytosis : The Spleen is important component of the
reticuloendothelial system. The phagocytes Present In the sleen
removes all cell debris and old RBCs.
2. Haemopoiesis : The Spleen is an important haemopoietic organ during
foetal life. Lymphopoeisis countinues throughout the life. The
lymphocytes manufactured in it ,take part in immune responses.
3. Immune responses : Under antigenic stimulation ,there occurs
increased lymphopoeisis for cellular responses , and increased
formation of plasma cells for the humoral responses.
4. Storage of RBCs : Red Blood Cells can be stored In the Spleen and
released into the circulation when needed.
• CLINICAL ANATOMY :
1. Spleenomegaly :- Enlargement of the Spleen is called splenomegaly. It may occur In a
number of diseases.
2. Splenoctomy :- Surgical removal of the Spleen is call splenoctomy. During This
operation damage to the tail of pancreas has to be carefully avoided.
3. Splenic puncture :- Spleen can be punctured through the 8th or 9th intercostal space in
the mid axillary line using a lumbar puncture needle. When enlarged , it can be
punctured through the anterior abdominal wall. To avoid laceration of Spleen , the
patient must hold his breath during the procedure.
4. Intrasplenic pressure :- it is an indirect record of the portal pressure .
5. Splenic infarction :- The smaller branches of splenic artery are end arteries. Their
obstruction (embolism) therefore results in splenic infraction which causes pain in left
shoulder (Kehr’s sign).
6. Severe haemorrhage – as it has rich blood supply, ant trauma to the spleen causes
severe bleeding.
7. Palpation of the spleen – in left costal margin
THANK YOU….

More Related Content

What's hot

Small intestine
Small intestine Small intestine
Small intestine
Brisso Mathew Arackal
 
Anatomy of spleen
Anatomy of spleenAnatomy of spleen
Anatomy of spleen
Swain Bishrita
 
Pleura
PleuraPleura
Pleura
Rohit Paswan
 
Lungs
LungsLungs
Extrahepatic Biliary Apparatus
Extrahepatic Biliary ApparatusExtrahepatic Biliary Apparatus
Extrahepatic Biliary Apparatus
DrUroojRehman
 
Spleen anatomy and physiology
Spleen anatomy  and physiologySpleen anatomy  and physiology
Spleen anatomy and physiology
mithun benjamin
 
Anatomy of the stomach
Anatomy of the stomachAnatomy of the stomach
Anatomy of the stomach
Saika Lashari
 
1. pericardium
1. pericardium1. pericardium
1. pericardium
Dr. Mohammad Mahmoud
 
Anatomy of Pancreas
Anatomy of PancreasAnatomy of Pancreas
Anatomy of Pancreas
Dr. Vibhash Kumar Vaidya
 
The pancreas
The pancreasThe pancreas
The pancreas
Brisso Mathew Arackal
 
Anatomy of liver
Anatomy of liver Anatomy of liver
Anatomy of liver
Pratap Tiwari
 
anatomy of spleen
anatomy of spleenanatomy of spleen
anatomy of spleen
dr.supriti verma bhatnagar
 
Lungs.pptx
Lungs.pptxLungs.pptx
Lungs.pptx
Mathew Joseph
 
Gross anatomy and histology of liver
Gross anatomy and histology of liverGross anatomy and histology of liver
Gross anatomy and histology of liver
Dr. Aryan (Anish Dhakal)
 
The pleurae
The pleuraeThe pleurae
The pleurae
Idris Siddiqui
 
Femoral triangle
Femoral triangleFemoral triangle
Femoral triangle
Idris Siddiqui
 
Pleura and lung
Pleura and lungPleura and lung
Pleura and lung
Jekadeshnaidu Panirselvam
 
Femoral triangle
Femoral triangleFemoral triangle
Femoral triangle
Dr. Piyush Karn
 

What's hot (20)

Small intestine
Small intestine Small intestine
Small intestine
 
Anatomy of spleen
Anatomy of spleenAnatomy of spleen
Anatomy of spleen
 
Pleura
PleuraPleura
Pleura
 
Lungs
LungsLungs
Lungs
 
Extrahepatic Biliary Apparatus
Extrahepatic Biliary ApparatusExtrahepatic Biliary Apparatus
Extrahepatic Biliary Apparatus
 
Spleen anatomy and physiology
Spleen anatomy  and physiologySpleen anatomy  and physiology
Spleen anatomy and physiology
 
Anatomy of the stomach
Anatomy of the stomachAnatomy of the stomach
Anatomy of the stomach
 
1. pericardium
1. pericardium1. pericardium
1. pericardium
 
Anatomy of Pancreas
Anatomy of PancreasAnatomy of Pancreas
Anatomy of Pancreas
 
The pancreas
The pancreasThe pancreas
The pancreas
 
Anatomy of liver
Anatomy of liver Anatomy of liver
Anatomy of liver
 
Cerebrum
CerebrumCerebrum
Cerebrum
 
anatomy of spleen
anatomy of spleenanatomy of spleen
anatomy of spleen
 
1 Stomach
1  Stomach1  Stomach
1 Stomach
 
Lungs.pptx
Lungs.pptxLungs.pptx
Lungs.pptx
 
Gross anatomy and histology of liver
Gross anatomy and histology of liverGross anatomy and histology of liver
Gross anatomy and histology of liver
 
The pleurae
The pleuraeThe pleurae
The pleurae
 
Femoral triangle
Femoral triangleFemoral triangle
Femoral triangle
 
Pleura and lung
Pleura and lungPleura and lung
Pleura and lung
 
Femoral triangle
Femoral triangleFemoral triangle
Femoral triangle
 

Similar to Spleen...

Spleen.pptx
Spleen.pptxSpleen.pptx
Spleen.pptx
ABHIJIT BHOYAR
 
ANATOMY OF SPLEEN AND IT'S APPLIED ASPECT
ANATOMY OF SPLEEN AND IT'S APPLIED ASPECTANATOMY OF SPLEEN AND IT'S APPLIED ASPECT
ANATOMY OF SPLEEN AND IT'S APPLIED ASPECT
satendra dwivedi
 
Anatomy of spleen
Anatomy of spleenAnatomy of spleen
Anatomy of spleen
Chris Saji
 
22222222222-160725181556.pdf
22222222222-160725181556.pdf22222222222-160725181556.pdf
22222222222-160725181556.pdf
Sunesh N.V
 
Spleen- anatomy physiology, function, anomalies.pptx.pptx
Spleen- anatomy physiology, function, anomalies.pptx.pptxSpleen- anatomy physiology, function, anomalies.pptx.pptx
Spleen- anatomy physiology, function, anomalies.pptx.pptx
Pradeep Pande
 
Applied Anatomy and Physiology of spleen
Applied Anatomy and Physiology of spleenApplied Anatomy and Physiology of spleen
Applied Anatomy and Physiology of spleen
Theoder Robinson
 
Spleen- anatomy physiolog, function, anomalies.pptx
Spleen- anatomy physiolog, function, anomalies.pptxSpleen- anatomy physiolog, function, anomalies.pptx
Spleen- anatomy physiolog, function, anomalies.pptx
Pradeep Pande
 
Spleen-Anatomy physiology.pptx
Spleen-Anatomy physiology.pptxSpleen-Anatomy physiology.pptx
Spleen-Anatomy physiology.pptx
Pradeep Pande
 
spleen-160406162128.pdf
spleen-160406162128.pdfspleen-160406162128.pdf
spleen-160406162128.pdf
UmaMaheshwariJ3
 
Spleen pptx for the best mbbs prepartion of spleen
Spleen pptx for the best mbbs prepartion of spleenSpleen pptx for the best mbbs prepartion of spleen
Spleen pptx for the best mbbs prepartion of spleen
arhamrafique42
 
Splenectomy
Splenectomy Splenectomy
Splenectomy
mithun benjamin
 
SURGICAL ANATOMY OF STOMACH AND DUODENUM dr. bruhath^final. .pdf
SURGICAL ANATOMY OF STOMACH AND DUODENUM dr. bruhath^final. .pdfSURGICAL ANATOMY OF STOMACH AND DUODENUM dr. bruhath^final. .pdf
SURGICAL ANATOMY OF STOMACH AND DUODENUM dr. bruhath^final. .pdf
madhurikakarnati
 
Kidney
KidneyKidney
The Small & Large Intestine.pptx
The Small & Large Intestine.pptxThe Small & Large Intestine.pptx
The Small & Large Intestine.pptx
Dr Ndayisaba Corneille
 
9.spleen
9.spleen9.spleen
Kidney_Nursing.pptx
Kidney_Nursing.pptxKidney_Nursing.pptx
Kidney_Nursing.pptx
ABHIJIT BHOYAR
 
Large intestine , Caecum and Appendix.pptx
Large intestine , Caecum and Appendix.pptxLarge intestine , Caecum and Appendix.pptx
Large intestine , Caecum and Appendix.pptx
Sundip Charmode
 
Abdomen & pelvis part I
Abdomen & pelvis part IAbdomen & pelvis part I
Abdomen & pelvis part I
SaruGosain
 
Prolapse rectum
Prolapse rectumProlapse rectum
Prolapse rectum
Dr KAMBLE
 

Similar to Spleen... (20)

Spleen.pptx
Spleen.pptxSpleen.pptx
Spleen.pptx
 
ANATOMY OF SPLEEN AND IT'S APPLIED ASPECT
ANATOMY OF SPLEEN AND IT'S APPLIED ASPECTANATOMY OF SPLEEN AND IT'S APPLIED ASPECT
ANATOMY OF SPLEEN AND IT'S APPLIED ASPECT
 
Anatomy of spleen
Anatomy of spleenAnatomy of spleen
Anatomy of spleen
 
22222222222-160725181556.pdf
22222222222-160725181556.pdf22222222222-160725181556.pdf
22222222222-160725181556.pdf
 
Spleen- anatomy physiology, function, anomalies.pptx.pptx
Spleen- anatomy physiology, function, anomalies.pptx.pptxSpleen- anatomy physiology, function, anomalies.pptx.pptx
Spleen- anatomy physiology, function, anomalies.pptx.pptx
 
Applied Anatomy and Physiology of spleen
Applied Anatomy and Physiology of spleenApplied Anatomy and Physiology of spleen
Applied Anatomy and Physiology of spleen
 
Spleen- anatomy physiolog, function, anomalies.pptx
Spleen- anatomy physiolog, function, anomalies.pptxSpleen- anatomy physiolog, function, anomalies.pptx
Spleen- anatomy physiolog, function, anomalies.pptx
 
Spleen-Anatomy physiology.pptx
Spleen-Anatomy physiology.pptxSpleen-Anatomy physiology.pptx
Spleen-Anatomy physiology.pptx
 
spleen-160406162128.pdf
spleen-160406162128.pdfspleen-160406162128.pdf
spleen-160406162128.pdf
 
Spleen pptx for the best mbbs prepartion of spleen
Spleen pptx for the best mbbs prepartion of spleenSpleen pptx for the best mbbs prepartion of spleen
Spleen pptx for the best mbbs prepartion of spleen
 
Splenectomy
Splenectomy Splenectomy
Splenectomy
 
SURGICAL ANATOMY OF STOMACH AND DUODENUM dr. bruhath^final. .pdf
SURGICAL ANATOMY OF STOMACH AND DUODENUM dr. bruhath^final. .pdfSURGICAL ANATOMY OF STOMACH AND DUODENUM dr. bruhath^final. .pdf
SURGICAL ANATOMY OF STOMACH AND DUODENUM dr. bruhath^final. .pdf
 
Kidney
KidneyKidney
Kidney
 
Pancreas
PancreasPancreas
Pancreas
 
The Small & Large Intestine.pptx
The Small & Large Intestine.pptxThe Small & Large Intestine.pptx
The Small & Large Intestine.pptx
 
9.spleen
9.spleen9.spleen
9.spleen
 
Kidney_Nursing.pptx
Kidney_Nursing.pptxKidney_Nursing.pptx
Kidney_Nursing.pptx
 
Large intestine , Caecum and Appendix.pptx
Large intestine , Caecum and Appendix.pptxLarge intestine , Caecum and Appendix.pptx
Large intestine , Caecum and Appendix.pptx
 
Abdomen & pelvis part I
Abdomen & pelvis part IAbdomen & pelvis part I
Abdomen & pelvis part I
 
Prolapse rectum
Prolapse rectumProlapse rectum
Prolapse rectum
 

Recently uploaded

How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
Jisc
 
Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
Ashokrao Mane college of Pharmacy Peth-Vadgaon
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
Jisc
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
Delapenabediema
 
The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
GeoBlogs
 
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup   New Member Orientation and Q&A (May 2024).pdfWelcome to TechSoup   New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
TechSoup
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
heathfieldcps1
 
Operation Blue Star - Saka Neela Tara
Operation Blue Star   -  Saka Neela TaraOperation Blue Star   -  Saka Neela Tara
Operation Blue Star - Saka Neela Tara
Balvir Singh
 
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdfAdversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Po-Chuan Chen
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
Pavel ( NSTU)
 
Unit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdfUnit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdf
Thiyagu K
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
kaushalkr1407
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
JosvitaDsouza2
 
Guidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th SemesterGuidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th Semester
Atul Kumar Singh
 
The Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptxThe Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptx
DhatriParmar
 
Embracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic ImperativeEmbracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic Imperative
Peter Windle
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
TechSoup
 
Instructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptxInstructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptx
Jheel Barad
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
camakaiclarkmusic
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
BhavyaRajput3
 

Recently uploaded (20)

How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
 
Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
 
The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
 
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup   New Member Orientation and Q&A (May 2024).pdfWelcome to TechSoup   New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
 
Operation Blue Star - Saka Neela Tara
Operation Blue Star   -  Saka Neela TaraOperation Blue Star   -  Saka Neela Tara
Operation Blue Star - Saka Neela Tara
 
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdfAdversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
 
Unit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdfUnit 2- Research Aptitude (UGC NET Paper I).pdf
Unit 2- Research Aptitude (UGC NET Paper I).pdf
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
 
Guidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th SemesterGuidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th Semester
 
The Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptxThe Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptx
 
Embracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic ImperativeEmbracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic Imperative
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
 
Instructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptxInstructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptx
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
 

Spleen...

  • 1. SPLEEN BY DR ANKUSH KHEDKAR ASST. PROF. IN RACHANA SHARIR (प्लीहा)
  • 2. • INTRODUCTION : 1. Spleen is a lymphatic organ connected to the blood vascular system. 2. It acts as a filter for blood and plays an important role in the immune responses of the body.
  • 3. • LOCATION : • The Spleen is a wedge- shaped (Tetrahedral) organ lying mainly in left hypochondrium and partly in epigastrium. • It is wedged between the fundus of the stomach and the diaphragm.
  • 4. DIMENSIONS • The spleen is soft and highly vascular and Dark purple in colour • The size and weight of the spleen are markedly variable • Spleen is 1 inch (2.5 cm) thick • 3 inch (7.5 cm) broad • 5 inch (12.5 cm) long • Weight- 7 ounce ( 200 gm) • It is related to 9 to 11 ribs • 1, 3, 5, 7, 9, 11 (memory trick)
  • 5. Position (Axis of spleen) • The spleen lies obliquely along the long axis of the 10th rib • Thus it is directed downwards, forwards and laterally. • Making an angle of about 45 degrees with the horizontal plane
  • 6. • EXTERNAL FEATURES : The Spleen has Two ends, Three borders and Two surfaces, Two angle and Hilum • TWO ENDS : 1. Anterior end :- it is expanded and is more like a border. It is directed downwards and forwards and reaches the mid axillary line. 2. Posterior end :- it is rounded. It is directed upwards, backwards and medially, and it rests on the upper pole of the left kidney • THREE BORDERS : 1. Superior border :- it is notched near the anterior end. 2. Inferior border :- it is rounded. 3. Intermediate border :- it is also rounded and is directed to the right
  • 7. • TWO SURFACES : 1. The diaphragmatic surface :- it is convex and smooth. The diaphragmatic surface Is related to the diaphragm which separates the Spleen from the costodiapgramatic recess of pleura, lung and 9th ,10th and 11th ribs of the left side. 2. The Visceral surface :- it is concave and irregular. • TWO ANGLE 1) Anterobasal angle- It is the junction of superior border with Anterior end  It is the forward projecting part of the spleen  This angle is called as “Clinical angle of spleen”. 2) Posterobasal angle- junction of inferior border with Anterior end. • HYLUM Hilum lies between Superior and intermediate border
  • 8. RELATION • Peritonial relation • The spleen is surrounded by peritoneum and suspended by following ligament. 1. Gastrosplenic ligament:- extends from the hilum of the spleen to the greater curvature of the stomach 2. Lienorenal ligament :- extends from the hilum of the spleen to the anterior surface of the left kidney. 1. The phrenicocolic ligament:- it is not attached to the spleen , but supports its anterior end. It is a horizontal fold of peritoneum extending from splenic flexure of colon to the diaphragm.
  • 9. Visceral relation • The visceral surface is related to the fundus of the stomach, anterior surface of left kidney, the splenic flexure of the colon and the tail of the pancreas. 1. Gastric impression :- For the fundus of the stomach Lies between the superior and intermediate border. It is the largest and most concave impression. 2. Renal impression :- for left kidney, lies between inf. And Intermed. Border 3. Colic impression :- For the splenic flexure of the colon 4. Pancreatic impression:- for the tail of the pancreas. lies between hilum and colic impr. 5. Hilum:- It transmit the splenic vessels and nerves , and provide attachment to the gastrosplenic and lienorenal ligament
  • 10. SUPPLY • ARTERIAL SUPPLY 1. Splenic artery B/O Coeliac trunk • VENOUS DRAINAGE Splenic vein drain into portal vein • LYMPHATIC DRAINAGE Pancreatosplenic lymphnodes • NERVE SUPPLY- Sympathetic nerves which derived from the coeliac plexus
  • 11. • Functions of Spleen : 1. Phagocytosis : The Spleen is important component of the reticuloendothelial system. The phagocytes Present In the sleen removes all cell debris and old RBCs. 2. Haemopoiesis : The Spleen is an important haemopoietic organ during foetal life. Lymphopoeisis countinues throughout the life. The lymphocytes manufactured in it ,take part in immune responses. 3. Immune responses : Under antigenic stimulation ,there occurs increased lymphopoeisis for cellular responses , and increased formation of plasma cells for the humoral responses. 4. Storage of RBCs : Red Blood Cells can be stored In the Spleen and released into the circulation when needed.
  • 12. • CLINICAL ANATOMY : 1. Spleenomegaly :- Enlargement of the Spleen is called splenomegaly. It may occur In a number of diseases. 2. Splenoctomy :- Surgical removal of the Spleen is call splenoctomy. During This operation damage to the tail of pancreas has to be carefully avoided. 3. Splenic puncture :- Spleen can be punctured through the 8th or 9th intercostal space in the mid axillary line using a lumbar puncture needle. When enlarged , it can be punctured through the anterior abdominal wall. To avoid laceration of Spleen , the patient must hold his breath during the procedure. 4. Intrasplenic pressure :- it is an indirect record of the portal pressure . 5. Splenic infarction :- The smaller branches of splenic artery are end arteries. Their obstruction (embolism) therefore results in splenic infraction which causes pain in left shoulder (Kehr’s sign). 6. Severe haemorrhage – as it has rich blood supply, ant trauma to the spleen causes severe bleeding. 7. Palpation of the spleen – in left costal margin