Mnemonic

Pancreas Relations

A memory aid for the structures behind and around the pancreas.

Expansion

Aorta, inferior vena cava, portal vein and left kidney behind; stomach in front

Expansion

Anteriorly - the lesser sac and, through it, the stomach; the transverse mesocolon attaches along the front of the body

Posteriorly, from right to left:

  • Inferior vena cava and the right renal vessels
  • Bile duct, in a groove in the head
  • Aorta and the origin of the superior mesenteric artery
  • Splenic vein, running along the back of the body
  • Left kidney and left adrenal gland

Three consequences follow:

  • Pain is felt in the epigastrium radiating to the back, because of the retroperitoneal position
  • A pseudocyst collects in the lesser sac
  • Severe pancreatitis can thrombose the splenic vein, causing left-sided (segmental) portal hypertension with isolated gastric varices