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A 50-year-old female is admitted to the hospital after a traumatic injury of the abdomen. NCCT examination reveals the lesion. An emergency procedure is performed. Which of the following peritoneal structures must be carefully manipulated to prevent intraperitoneal bleeding?

A
Coronary ligament
B
Gastrosplenic ligament
C
Lienorenal ligament
D
Phrenocolic ligament
High-Yield Explanation
CT shows a subcapsular hematoma with a splenic laceration extending from the capsule to the hilum with an intraparenchymal hematoma Leinorenal ligament, also known as the Splenorenal ligament contains: tail of the pancreas splenic aery splenic vein Hence it is needed to be manipulated carefully to prevent bleeding. Gastrosplenic ligament contains: Sho gastric vessels and left gastroepiploic vessels The coronary ligament is the peritoneal reflection from the diaphragmatic surface of the liver onto the diaphragm that encloses the bare area of liver; it is not attached to the spleen The phrenico-colic ligament, also known as Hensing's ligament, is a peritoneal ligament extending from the splenic flexure of the colon to the diaphragm. It functions as a potential barrier to the spread of infection between the left paracolic gutter and the left subphrenic space. It also prevents downward extension of spleen during splenomegaly.

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