Clinico-radiological study of the pancreatic tail in relation to the splenic hilum

Inbasekaran A, Murugesan SD, Rajendran K, Gnanasigamani S, Urabinahatti KA, Hanumantha RKN, Kanagarathinam SS, Umesh RN, Thangasamy S, Satyanesan J

Pdf Page Numbers :- 336-339

Anbarasu Inbasekaran^1,*, Satish Devakumar Murugesan¹, Kamalakannan Rajendran¹, Sathyan Gnanasigamani², Kiran Arjun Urabinahatti¹, Naik Hanumantha RK¹, Siva Subramanian Kanagarathinam¹, Rohan N Umesh¹, Selvaraj Thangasamy¹ and Jeswanth Satyanesan¹

¹Institute of Surgical Gastroenterology & Liver Transplantation, Government Stanley Medical College and Hospital, Chennai-600001, Tamil Nadu, India

²Department of Radiodiagnosis, Government Stanley Medical College and Hospital, Chennai-600001, Tamil Nadu, India

*Corresponding author: Dr. Anbarasu Inbasekaran, Institute of Surgical Gastroenterology & Liver transplantation, Government Stanley hospital, George Town, Chennai- 600001, India. Email: anbu.stanley@gmail.com

Received 20 July 2023; Revised 11 September 2023; Accepted 19 September 2023; Published 25 September 2023

Citation: Inbasekaran A, Murugesan SD, Rajendran K, Gnanasigamani S, Urabinahatti KA, Hanumantha RKN, Kanagarathinam SS, Umesh RN, Thangasamy S, Satyanesan J. Clinico-radiological study of the pancreatic tail in relation to the splenic hilum. J Med Sci Res. 2023; 11(4):336-339. DOI: http://dx.doi.org/10.17727/JMSR.2023/11-61

Copyright: © 2023 Inbasekaran A et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Introduction: Splenectomy is one of the most commonly performed surgical procedures worldwide. The splenic hilum is closely related to adjacent organs like the tail of the pancreas, stomach, splenic flexure of colon, and left kidney. One of the morbid complications of splenectomy is injury to the tail of pancreas. The objective of this study was to assess the anatomical details of the pancreatic tail with respect to the splenic hilum by assessing patient’s abdominal computed tomography (CT) imaging.

Methods: A total of 150 patients’ abdominal CT imaging was taken for evaluation in this study. The distance between the pancreatic tail and the splenic hilum was measured. The level of location of the pancreatic tail in relation to the splenic hilum was also noted for each patient.

Results: The pancreatic tail was inferior to the level of the splenic hilum in 59.3 percent (n =89) of the patients, superior to the level of the splenic hilum in 2.0 percent (n =3) of the patients, and at the level of the hilum in 38.7 percent (n = 58) of the patients. The mean distance from the pancreatic tail to the splenic hilum was 13.1 ± 5.2 mm.

Conclusion: Abdominal CT imaging will provide a road map regarding the location of the pancreatic tail and the distance between the pancreatic tail and the splenic hilum. With the preoperative CT imaging details and efficient surgical dissection as close as possible to the splenic hilum, the potential injury to the pancreatic tail can be prevented.

Keywords: splenectomy; pancreatic tail injury; splenic hilum; pancreatic fistula