Advertisement

Subperitoneal Spread of Intra-Abdominal Disease

  • M. Oliphant
  • A. S. Berne
  • M. A. Meyers

Abstract

The formation of the coelomic cavity during fetal life divides the abdomen into two major parts—the peritoneal cavity and the retroperitoneum. Classically, the retroperitoneum is further subdivided by its fascial planes into three components: the perirenal space containing the kidneys and the adrenal glands; the anterior pararenal space containing the pancreas, the duodenum, and the ascending and descending colon; and the posterior pararenal space deep to the transversalis fascia continuing around the flank [1,2]. Caudad to the perirenal space the anterior and posterior pararenal spaces become confluent. These divisions of the retroperitoneum are extremely helpful for understanding the spread and confinement of disease within these spaces. This concept is also of importance in establishing the differential diagnosis of a pathologic process when the abnormality is identified within a specific space (Figs. 5-1, 5-2).

Keywords

Broad Ligament Direct Spread Pararenal Space Superior Mesenteric Vessel Perirenal Space 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Meyers M A.: Dynamic Radiology of Radiology of the Abdomen: Normal and Pathologic Anatomy, 2 ed. New York, Heidelberg, Berlin, Springer-Verlag, 1982.Google Scholar
  2. 2.
    Meyers M A, Whalen J P, Peelle K, et al.: Radiologic features of extraperitoneal effusions: An anatomic approach. Radiology 1972; 104: 249–257.PubMedGoogle Scholar
  3. 3.
    Meyers M A: The spread and localization of acute intraperitoneal effusions. Radiology 1970; 95: 547–554.PubMedGoogle Scholar
  4. 4.
    Gray H: The digestive system, in Gross CM (ed): Anatomy of Human Body. Philadelphia, Lea and Feiberger, 1965, pp 1207–1311.Google Scholar
  5. 5.
    Meyers M A: Roentgen significance of the phrenicocolic ligament. Radiology 1970; 95: 539–545.PubMedGoogle Scholar
  6. 6.
    Meyers M A, McSweeney J: Secondary neoplasms of the bowel. Radiology 1972; 105: 1–11.PubMedGoogle Scholar
  7. 7.
    Meyers M A, Whalen J P: Roentgen significance of the duodenocolic relationships: An anatomic approach. Am J Roentgenol Rad Ther Nucl Med, 1973; 117: 263–274.Google Scholar
  8. 8.
    Meyers M A, Evans J A: Effects of pancreatitis on the small bowel and colon: Spread along mesenteric planes. Am J Roentgenol Rad Ther Nucl Med 1973; 119: 151–165.Google Scholar
  9. 9.
    Meyers M A, Volberg F, Katzen B, et al: Haustral anatomy and pathology: A new look. I Roentgen identification of normal patterns and relationships. Radiology 1973; 108: 497–504.PubMedGoogle Scholar
  10. 10.
    Meyers M A: Volberg F, Katzen B, et al: Haustral anatomy and pathology: “A new look.” II Roentgen interpretation of pathological alterations. Radiology 1973; 108: 505–512.PubMedGoogle Scholar
  11. 11.
    Meyers M A: Intraperitoneal spread of malignancy and its effect on the bowel. Second annual Leeds lecture. Clin Radiol 1981; 32: 129–146.PubMedCrossRefGoogle Scholar
  12. 12.
    Oliphant M, Berne A S: Computed tomography of the subperitoneal space: Demonstration of direct spread of intraabdominal disease. J Comput Assist Tomogr 1982; 6: 1127–1137.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1986

Authors and Affiliations

  • M. Oliphant
  • A. S. Berne
  • M. A. Meyers

There are no affiliations available

Personalised recommendations