Advanced Visceral Surface of the Spleen Quiz

Q1. Why is the visceral surface especially important during splenic hilar surgery?

• The common bile duct crosses the splenic capsule
• The splenic vascular pedicle and pancreatic tail are concentrated at the visceral hilar region
• The visceral surface contains no vessels
• The abdominal aorta enters the spleen here

Q2. What surgical risk follows from the pancreatic impression near the splenic hilum?

• Injury to the pancreatic tail can cause pancreatic leakage
• It causes right phrenic nerve paralysis
• Injury causes direct ureteric obstruction
• It commonly severs the common bile duct

Q3. Why can mobilization of the spleen affect the gastric fundus?

• The stomach lies inside the splenic capsule
• The portal vein attaches the fundus directly to the spleen
• The pylorus occupies the splenic hilum
• The gastric impression and gastrosplenic ligament create a close stomach-spleen relationship

Q4. Why can pathology at the left colic flexure appear closely related to the inferior spleen on imaging?

• The sigmoid colon forms the renal impression
• The colon passes through the splenic parenchyma
• The left colic flexure forms the colic impression on the spleen
• The cecum lies beneath the splenic hilum

Q5. Which relationship explains why the left kidney can serve as a posterior imaging landmark for the spleen?

• The kidney lies inside the gastrosplenic ligament
• The renal pelvis enters the splenic hilum
• The right kidney forms the gastric impression
• The renal impression reflects contact with the upper left kidney

Q6. How do the gastrosplenic and splenorenal ligaments relate to the visceral surface?

• Both attach only to the diaphragmatic surface
• Both converge near the hilum but connect the spleen to different neighboring regions
• Both contain the portal triad
• Neither has a relationship to the splenic hilum

Q7. Why does the visceral surface have an irregular contour compared with the diaphragmatic surface?

• It is eroded by the pleural cavity
• It contains vertebral spinous processes
• Multiple visceral contacts and the hilum create impressions and irregularity
• It is uncovered by any tissue

Q8. Which combination correctly matches visceral impressions with their related structures?

• Gastric-stomach, renal-left kidney, colic-left colic flexure, pancreatic-pancreatic tail
• Gastric-liver, renal-right kidney, colic-cecum, pancreatic-pancreatic head
• Gastric-esophagus only, renal-right suprarenal gland, colic-hepatic flexure, pancreatic-neck
• Gastric-duodenum, renal-bladder, colic-sigmoid colon, pancreatic-uncinate process

Q9. Why is the splenic hilum not located on the diaphragmatic surface?

• The hilum must face the pleural cavity
• The splenic artery approaches through the left lung
• The vascular pedicle approaches the medially directed visceral surface
• The diaphragmatic surface has no peritoneal covering

Q10. Which statement best integrates the anatomy of the visceral surface of the spleen?

• It is the smooth convex surface facing the diaphragm and ribs
• It is a retroperitoneal surface fused directly to the kidney
• It is the medial splenic surface bearing organ impressions and the neurovascular hilum
• It is an avascular surface related only to the left lung