all about of spleen

1. Gross Anatomy
Hematopoietic & Lymphatic
Module
1

2. 2

3.  Consists of:
1. Lymph
2. Lymphatic vessels
3. Structures and organs containing
lymphatic tissue
4. Red bone marrow
Lymphatic System Structure and Function
3
 Functions of the lymphatic
system
1. Drains excess interstitial fluid.
2. Transports dietary lipid from
gastrointestinal tract to blood.
The lipid-containing lymph is
called Chyle.
3. Carry out immune responses.
Fig.1: Components of the
lymphatic system.

4. Lymph
 Most components of blood
plasma filter freely
through the capillary walls
to form interstitial fluid.
 More fluid filters out of
blood capillaries than
returns to them by
reabsorption.
 The excess filtered fluid
drains into lymphatic
vessels and becomes
lymph,
4
Fig.2: Capillaries and lymphatics.

5. Lymphatic Vessels
5
 Vessels begin as lymphatic
capillaries. These are closed at
one end.
 Lymphatic capillaries unite to
form large lymphatic vessels.
These resemble veins in
structure but thinner walls and
more valves.
 A series of swellings are present
along the lymphatic vessels.
These are the lymph nodes.
Fig.3: The distribution of lymphatic
vessels in the body showing the lymph
nodes. Also shown is the closed end
of a lymphatic capillary.

6.  Ultimately, the lymph drains into 2 main
channels:
1. Thoracic duct: a long duct that drains
lymph from the entire left half of the
body and the right half below the ribs
including the right lower limb.
2. Right lymphatic duct: a short duct that
drains lymph from the right side of the
body above the ribs including the right
upper limb.
6
Fig.4: Areas of lymph
drainage to the two
main lymphatic ducts.

7.  Each of these ducts open into the junction of
the subclavian and internal jugular veins as
they form the brachiocephalic vein.
 In this way, the lymph will return to the blood.
7
Fig.5: Opening of the lymphatic
ducts into the venous circulation.

8.  2 groups based on function
1. Primary lymphatic organs:
 Sites where B and T lymphocytes are formed and mature.
 Red bone marrow and thymus.
2. Secondary lymphatic organs
 Sites where most immune response occurs, meaning that
they are the sites where the mature lymphocytes perform
their function.
 Lymph nodes, spleen, lymphatic nodules.
Lymphatic Organs and Tissues
8

9. Red Bone Marrow
 Red bone marrow is the site of formation of the blood
elements: red blood cells, white blood cells and platelets.
 Inside the red bone marrow B lymphocyte form and mature;
T lymphocytes are formed in the red bone marrow but
they’re immature. T-cells become mature in the thymus.
 Red bone marrow in adults is present in the flat bones and
the epiphyses of some long bones.
9

10. Lymph Nodes
 Lymph nodes are capsulated bean shaped structures that are found
along the course of the lymphatic vessels. They’re usually present in
groups and they’re scattered all over the body.
 The capsule sends trabeculae into the node dividing it into
compartments. Beneath the capsule there’s a space called the
Subcapsular Sinus.
 The node has an outer cortex with lymphatic nodules formed of B-
cells and plasma cells. Deep to it is the inner cortex formed of T-cells
with no nodules. Deep to the cortex is the medulla which contains B-
cells, plasma cells and macrophages embedded in reticular fibers.
 Between the lymphatic tissue in the cortex and medulla are spaces
called cortical and medullary sinuses.
10

11. Important Note:
• In any organ in the body, the tissues forming the organ can be
divided into two types:
1. The Parenchyma: any tissue in the organ responsible for
performing the function of the organ. Example: in the lymph
nodes, the lymphoid tissue is the parenchyma.
2. The Stroma: tissues in the organ that are not related to the
function of the organ but play a supporting role. Example: in
the lymph nodes, the capsule, the trabeculae, the reticular
fibers and fibroblasts are the stroma.
11

12. Functions of lymph nodes:  Filter of lymph
1. Antigens in the lymph are trapped and the lymphocytes in
the nodes react to it and initiate the immune response.
2. Macrophages in the node may directly destroy the
antigen.
 It’s important to know what lymphatic vessels drain a
certain organ and what are the lymph nodes in its
course, because this represent a pathway by which
infections and cancer cells can spread.
12

13.  Largest single mass of lymphatic tissue in the body.
 It’s an oval, soft organ located in the left hypochondriac region.
 Its superior surface is smooth and related to the diaphragm and
ribs 9,10 and 11. Its visceral surface is irregular and related to
the stomach, pancreas, kidney and colon.
 Stroma – capsule, trabeculae, reticular fibers, and fibroblasts.
 Parenchyma:
 White pulp – lymphatic tissue (lymphocytes and
macrophages) surrounds branches of splenic artery (the artery
that supplies the spleen and enters through the hilum).
The Spleen
13

14. Spleen
 Largest single mass of
lymphoid tissue
 Located in the left
hypochondrium, deep to 9,
10 & 11 ribs
 Its Long axis lies along
10th rib.
 It is separated from the
ribs by the diaphragm and
the costodiaphragmatic
recess(space in pleural
cavity).
 Ovoid in shape with
notched anterior border
 Lower pole extends
forward as far as the
midaxillary line.
 Normal size spleen can
not be palpated on clinical
examination. (A healthy
spleen is not palpable).
14

15.  Borders:
 The superior and anterior
borders are sharp. Anterior
border is notched.
 The posterior (medial) and
inferior borders are rounded.
• Surfaces:
• Diaphragmatic surface: is
convexly curved to fit the
concavity of the diaphragm and
curved bodies of the adjacent ribs
• Visceral surface: related to
viscera.
15

16. Peritoneal Reflections/Ligaments
 Spleen is completely
surrounded by peritoneum
EXCEPT at the hilum where
its margins give
attachement to :
• Gastrosplenic ligament
to the greater curvature
of stomach (carrying the
short gastric and left
gastroepiploic vessels)
• Lienorenal (splenorenal)
ligament to the left
kidney (carrying the
splenic vessels and the tail
of pancreas)
16

17.  Red pulp – blood-filled venous sinuses surrounded
by splenic cords which contain red blood cells,
macrophages, lymphocytes and plasma cells.
 Macrophages remove ruptured, worn out or
defective blood cells.
 Storage of up to 1/3 of body’s platelet supply.
 Production of blood cells during fetal life.
 Function: Filter of Blood
17

18. Relations
 Anteriorly: Stomach, tail of
pancreas, left colic flexure &
left kidney
 Posteriorly: Diaphragm,
that separates it from the left
pleura (left costo-
diaphragmatic recess), left
lung & 9, 10 & 11 ribs.
 Inferiorly: Left colic flexure.
 Medially: Left kidney.
18

19. Arterial Supply
Splenic artery
 Largest branch of the celiac artery
 Runs a tortuous course along the
upper border of the pancreas
 Passes within the lienorenal
ligament
 Divides into 4-5 terminal branches,
which enter the spleen at the hilus
 The lack of anastomosis of these
arterial vessels within the spleen
results in the formation of vascular
segments of the spleen with
relatively avascular planes between
them, enabling subtotal
splenectomy.
19

20. Venous Drainage
Splenic vein
 Leaves the hilum
 Runs behind the tail &
body of the pancreas
 Reaches behind the neck
of pancreas, where it joins
the superior mesenteric
vein to form the portal
vein
 Tributaries:
• Short gastric vein
• left gastroepiploic vein
• Pancreatic veins
• Inferior mesenteric vein
20
Sup.Mes.v.

21.  It is a specific type of
anastomosis that occurs
between the veins of portal
circulation and those of
systemic circulation
 In portal hypertension, these
anastomosis open and form
venous dilatation called
varices.
 Sites:
A. Esophagus (lower part).
B. Upper Anal canal.
C. Paraumbilical region.
D. Retroperitoneal.
E. Intrahepatic (Patent
ductus venosus).
Portal-Systemic (Portacaval) Anastomoses
21

22. • Lymphatics emerge from the hilus and drain into
several nodes lying at the hilum
• Efferents from the hilar nodes pass along the
course of splenic artery, and drain into the celiac
lymph nodes
 Derived from the celiac plexus (Innervation is purely
sympathetic).
 Are distributed mainly along branches of the
splenic artery, and are vasomotor in function.
22
Nerve Supply
Lymph Drainage

23. 23
Fig.8: The spleen and its histology.

24. The Thymus
 The thymus is an asymmetric bilobed organ where mature T-
cells are formed.
 It’s located in the superior mediastinum just behind the
manubrium. It may descend into the anterior mediastinum to lie
between the sternum and the pericardial sac. Sometimes it may
ascend into the neck reaching as high as the thyroid gland.
 The fibrous capsule that surrounds the gland sends connective
tissue trabeculae into the gland dividing it into lobules. Each
lobule is formed of a dark outer region with immature T-cells
(the cortex) and an inner lighter region with mature T-cells (the
medulla).
24

25.  The thymic tissue is most
numerous in younger age.
As the person grows, this
tissue is gradually replaced
by fatty tissue.
25
Fig.6: To the left, histology of
the thymus. Below, position
of the thymus.

26. LYMPHADENOPATHY
 Means a disease of
the lymph nodes
 Lymph nodes
become swollen/
enlarged and may be
painful to touch

27. SPLENOMEGALY
 Enlarged
Spleen
 Various causes

28.  I am a part of lymphatic system and protect the
body by clearing worn out red cells and foreign
bodies from the blood stream. Who am I?
A. Thymus
B. Palatine
Tonsil
C. Spleen
QUESTION.

29.  Which of these is a primary lymphoid organ
?
A. Lymph Node
B. Spleen
C. Tonsil
D. Bone Marrow
QUESTION.

30. Thank You
30