Question:medium

Structure preventing vertical descent of spleen

Updated On: Jun 23, 2026
  • Phrenocolic ligament
  • Hepatogastric ligament
  • Ligamentum teres
  • Ligamentum flavum
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The Correct Option is A

Solution and Explanation

The structure that prevents the vertical descent of the spleen is the $\text{Phrenocolic ligament}$ (also called sustentaculum lienis).

Anatomy of the Phrenocolic Ligament:
- Extends from the left colic (splenic) flexure to the thoracic diaphragm at the level of the 10th and 11th ribs
- Lies inferior to the spleen, forming a shelf or hammock that supports it
- Acts as a mechanical barrier preventing the spleen from descending in the abdomen

Additional splenic ligaments (for reference):
| Ligament | Connects | Role |
| Gastrosplenic | Stomach to spleen | Carries short gastric and left gastroepiploic vessels |
| Splenorenal | Spleen to left kidney | Carries splenic vessels and tail of pancreas |
| Phrenocolic | Splenic flexure to diaphragm | Prevents vertical descent of spleen |

Distractors:
- Hepatogastric ligament: part of lesser omentum, unrelated to spleen
- Ligamentum teres: remnant of umbilical vein in liver
- Ligamentum flavum: spinal ligament between vertebral laminae

\[\boxed{\text{Phrenocolic ligament}}\]
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