With an increase in the size of the pancreas, it can be probed with fingers. This is done by placing the patient horizontally on an empty stomach or after applying enema. Fingers are placed a few centimeters above the lower edge of the stomach. When the patient exhales, the fingers sink deeper, and, not stopping, slide to the back abdominal wall. When enlarged, it is felt in the form of a strand, which allows you to detect certain painful areas and points.
In case of problems, the following points of the pancreas are probed:
- Dejardena - located three centimeters to the right and slightly upward from the navel. Soreness in this place indicates the presence of problems in the bulb of the duodenum and the gland.
- The Mayo-Robron point is in the upper left quadrant of the abdomen. Soreness is characteristic if there are problems with the tail of the organ.
- Cacha - located on the outer end of the rectus abdominis muscle a few centimeters above the navel. Soreness indicates problems with th
e organ, in particular with its body and tail.
- The Male Gee Point is located below the ribs, on the line of the rectus abdominal muscle on the left.
- Gubergritsa - is located symmetrically to the point of Desjardins on the left.
The palpation can detect the following painful areas of the pancreas:
- Shoffara - is located on an imaginary line between the navel and the axilla on the right side. Painful sensations indicate the presence of problems with the pancreas, duodenum and with the general flow of bile.
- Janover - is on a horizontal line that runs through the navel, and also grabs an area of 3-5 cm to the left of it.
- Gubergritsa-Skulsky - is similar in location to the Shoffar zone, but is on the left. Soreness serves as a signal that there are problems with the body of the body.
Pancreas projection points
Depending on the sources of blood supply, the pancreas is divided into three parts:
- The head is supplied with branches of the mesenteric artery.
- Body - is supplied mainly by the splenic artery.
- Tail - provided with branches of the splenic or left gastro-omental artery.
When viewed in a horizontal plane, the projection of the pancreas appears asymmetrically in most cases - the head is higher, and the body and tail are slightly lower. On the abdominal wall the organ is projected in the epigastric, umbilical and subcostal areas.