Which of the following is not a location where accessory spleen can be found?
|C||Large bowel mesentery|
(Ref: Schwartz :Principles of surgery 8th edition page no.1450)
a. Accessory spleens have been reported in 14 to 30 percent of patients.
b. Higher incidence occurring in patients operated on for hematologic disorders.
c. These accessory organs, which receive their vascular supply from the splenic artery, are present, in decreasing order of frequency,
d. Hilus of the spleen, the gastrosplenic and splenocolic ligaments, the splenorenal ligament, and the greater omentum are the sites in the order of occurrence.
e. They also may occur in the pelvis of the female.
f. Functioning splenic tissue has been removed from the scrotum in juxtaposition to the left testicle.
g. Normaliy the spleen arises by mesenchymal differentiation along the left side of the dorsal mesogastrium in the 8mm embryo.
h. Normally it is located in the left upper quadrant , having superior relationship to the undersurface of the left leaf of the diaphragm and protected anteriorly, laterally and posteriorly by the lower rib cage portion.
i. Its normal position is maintained by the several suspensory ligaments.
j. The major one being the splenophrenic, splenorenal, splenocolic and gastrosplenic ligaments.
k. The gastrosplenic ligament contain the short gastric vessels.
l. Remaining ligaments are generally avascular.
m. Spleen is called ‘organ of the mystery’ by Galen
n. During the early fetal life, spleen contributes as an organ of hematopoiesis.
o. While in adult life spleen is the site of sequestration of the RBCs!!