PASS 610 - Exam 3 - Stomach & Spleen Questions with
Verifiable Solutions
Netter Plate 288 will help you to understand this answer. The splenic artery is a branch of the
celiac trunk. It passes deep to the stomach and sends branches to the pancreas before reaching
the spleen. If the posterior wall of the stomach eroded, gastric juices could damage the splenic
artery. The gastroduodenal artery lies behind the first portion of the duodenum. An ulcer in this
portion of the duodenum might jeopardize the gastroduodenal artery. The common hepatic
artery is a branch of the celiac trunk which runs superior to the lesser curvature of the stomach.
The left gastroepiploic artery runs on the left side of the greater curvature of the stomach.
Finally, the superior mesenteric artery arises from the aorta at the L1 level, posterior to the
pancreas. It crosses over the third portion of the duodenum.
The spleen contacts all of the following organs EXCEPT:
A) Jejunum
B) Kidney
C) Left colic flexure
D) Tail of the pancreas
E) Stomach✔✔A) jejunum
The spleen is not in contact with the jejunum. The jejunum lies medial and inferior to the
spleen. The kidney is in contact with the posteromedial surface of the spleen. The left colic
flexure is in contact with the inferomedial surface of the spleen. The tail of the pancreas
touches the hilum of the spleen. The stomach is in contact with the anteromedial surface of the
spleen. See Netter Plate 289 for a picture of the different impressions on the spleen.
Which is not a boundary of the epiploic (omental) foramen?
A) Aorta
B) Caudate lobe of the liver
, C) First part of the duodenum
D) Hepatoduodenal ligament✔✔A) Aorta
The epiploic (omental) foramen is a passageway between the greater peritoneal sac and the
lesser peritoneal sac. It is located posterior to the hepatoduodenal ligament and the first part of
the duodenum. The caudate lobe of the liver forms the posterior wall of the epiploic foramen.
The aorta is retroperiteoneal, and it does not form a boundary of this foramen.
In order to approach the area posterior to the stomach, a surgeon decided to go through the
lesser omentum. Before incising the mesentery she was careful to find and preserve a nerve
lying in the upper portion of the hepatogastric ligament, i.e., the:
A) Celiac branch of the anterior vagal trunk
B) Celiac branch of the posterior vagal trunk
C) Greater splanchnic branch to the right suprarenal gland
D) Hepatic branch of the anterior vagal trunk
E) Hepatic branch of the posterior vagal trunk✔✔D) Hepatic branch of the anterior vagal trunk
The hepatic branch of the anterior vagal trunk travels in the upper portion of the hepatogastric
ligament. The posterior vagal trunk supplies a celiac branch deep to the hepatogastric ligament.
The greater thoracic splanchnic branches to the suprarenal glands come off the greater thoracic
splanchnic nerves as they pass through the diaphragm. Then, the greater thoracic splanchnic
nerves continue on to synapse in the celiac ganglia.
Which of the following is NOT in contact with the spleen?
A) Colon
B) Diaphragm
C) Duodenum
D) Pancreas
E) Stomach✔✔C) Duodenum
Verifiable Solutions
Netter Plate 288 will help you to understand this answer. The splenic artery is a branch of the
celiac trunk. It passes deep to the stomach and sends branches to the pancreas before reaching
the spleen. If the posterior wall of the stomach eroded, gastric juices could damage the splenic
artery. The gastroduodenal artery lies behind the first portion of the duodenum. An ulcer in this
portion of the duodenum might jeopardize the gastroduodenal artery. The common hepatic
artery is a branch of the celiac trunk which runs superior to the lesser curvature of the stomach.
The left gastroepiploic artery runs on the left side of the greater curvature of the stomach.
Finally, the superior mesenteric artery arises from the aorta at the L1 level, posterior to the
pancreas. It crosses over the third portion of the duodenum.
The spleen contacts all of the following organs EXCEPT:
A) Jejunum
B) Kidney
C) Left colic flexure
D) Tail of the pancreas
E) Stomach✔✔A) jejunum
The spleen is not in contact with the jejunum. The jejunum lies medial and inferior to the
spleen. The kidney is in contact with the posteromedial surface of the spleen. The left colic
flexure is in contact with the inferomedial surface of the spleen. The tail of the pancreas
touches the hilum of the spleen. The stomach is in contact with the anteromedial surface of the
spleen. See Netter Plate 289 for a picture of the different impressions on the spleen.
Which is not a boundary of the epiploic (omental) foramen?
A) Aorta
B) Caudate lobe of the liver
, C) First part of the duodenum
D) Hepatoduodenal ligament✔✔A) Aorta
The epiploic (omental) foramen is a passageway between the greater peritoneal sac and the
lesser peritoneal sac. It is located posterior to the hepatoduodenal ligament and the first part of
the duodenum. The caudate lobe of the liver forms the posterior wall of the epiploic foramen.
The aorta is retroperiteoneal, and it does not form a boundary of this foramen.
In order to approach the area posterior to the stomach, a surgeon decided to go through the
lesser omentum. Before incising the mesentery she was careful to find and preserve a nerve
lying in the upper portion of the hepatogastric ligament, i.e., the:
A) Celiac branch of the anterior vagal trunk
B) Celiac branch of the posterior vagal trunk
C) Greater splanchnic branch to the right suprarenal gland
D) Hepatic branch of the anterior vagal trunk
E) Hepatic branch of the posterior vagal trunk✔✔D) Hepatic branch of the anterior vagal trunk
The hepatic branch of the anterior vagal trunk travels in the upper portion of the hepatogastric
ligament. The posterior vagal trunk supplies a celiac branch deep to the hepatogastric ligament.
The greater thoracic splanchnic branches to the suprarenal glands come off the greater thoracic
splanchnic nerves as they pass through the diaphragm. Then, the greater thoracic splanchnic
nerves continue on to synapse in the celiac ganglia.
Which of the following is NOT in contact with the spleen?
A) Colon
B) Diaphragm
C) Duodenum
D) Pancreas
E) Stomach✔✔C) Duodenum
