Spleen

Question 1

what prevents the spleen from enlarging downward?

Answer 1

phrenicolic ligament

Question 2

Avascular ligaments of spleen

Answer 2

splenico-phrenic
splenico-colic

Question 3

gastrosplenic ligament contents

Answer 3

Short gastric vessels

Question 4

lienorenal ligament content

Answer 4

Splenic vessels and tail of pancreas

Question 5

most common site of spleniculi

Answer 5

hilum

Question 6

MC cyst of spleen

Answer 6

Pseudocyst

Question 7

mc true cyst of spleen

Answer 7

hydatid

Question 8

MC visceral artery aneurysm

Answer 8

splenic artery

Question 9

most common cause of splenic artery aneurysm

Answer 9

Pancreatitis

Question 10

CF splenic artery, aneurysm rupture

Answer 10

abdominal pain
hemoperitoneum
positive Kehr sign

Question 11

First line management of splenic artery aneurysm

Answer 11

Endovascular, embolisation, or grafting

Question 12

Most common indication for splenectomy

Answer 12

trauma

Question 13

Most common benign tumour of spleen

Answer 13

Hemangioma

Question 14

most common malignant tumour of spleen

Answer 14

Lymphoma

Question 15

injury to tail of pancreas after splenectomy present as

Answer 15

amylase rich secretion in drain

Question 16

Most common complication after splenectomy

Answer 16

Left lower lobe atelectasis/ pneumonia/ resp infections

Question 17

Most common organism causing OPSI

Answer 17

pneumococcus

Question 18

vaccines given post splenectomy

Answer 18

pneumococcal - every 5 y
meningococcal- every 5 y
hemophilus - every 10 y
influenza - every year