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Examples
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The Tail (cauda pancreatis) is narrow; it extends to the left as far as the lower part of the gastric surface of the spleen, lying in the phrenicolienal ligament, and it is in contact with the left colic flexure.
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It invests the entire organ, except at the hilum and along the lines of reflection of the phrenicolienal and gastrolienal ligaments.
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One, the phrenicolienal ligament, is derived from the peritoneum, where the wall of the general peritoneal cavity comes into contact with the omental bursa between the left kidney and the spleen; the lienal vessels pass between its two layers (Fig. 1039).
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Continuing to the left, the peritoneum lines the antero-lateral abdominal wall and covers the lateral part of the front of the left kidney, and is reflected to the posterior border of the hilus of the spleen as the posterior layer of the phrenicolienal ligament.
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Laterally, the bursa extends from the epiploic foramen to the spleen, where it is limited by the phrenicolienal and gastrolienal ligaments.
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Starting from here, the bursa may be traced across the aorta and over the medial part of the front of the left kidney and diaphragm to the hilus of the spleen as the anterior layer of the phrenicolienal ligament.
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It passes horizontally to the left side, behind the stomach and the omental bursa of the peritoneum, and along the upper border of the pancreas, accompanied by the lienal vein, which lies below it; it crosses in front of the upper part of the left kidney, and, on arriving near the spleen, divides into branches, some of which enter the hilus of that organ between the two layers of the phrenicolienal ligament to be distributed to the tissues of the spleen; some are given to the pancreas, while others pass to the greater curvature of the stomach between the layers of the gastrolienal ligament.
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