Pathways of Extrapelvic Spread of Disease

  • Morton A. Meyers


Diseases arising from the pelvic contents may first manifest themselves by signs and symptoms remote from their source of origin. Gastrointestinal tract perforations, in particular, may dissect along anatomic planes of the pelvis to first present in the buttock, hip, thigh, and even the lower leg and the retroperitoneal space of the abdomen. Pain, mass, or crepitation at these sites may be very misleading since the origin of the underlying inflammatory condition or the neoplastic, traumatic, or foreign body perforation of the bowel within the pelvis often remains clinically occult. Radiologic evaluation may be crucial in redirecting the diagnostic and therapeutic approach as well as in documenting the extent of disease.


Necrotizing Fasciitis Spigelian Hernia Piriformis Muscle Sigmoid Diverticulitis Endopelvic Fascia 
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Copyright information

© Springer Science+Business Media New York 1982

Authors and Affiliations

  • Morton A. Meyers
    • 1
  1. 1.Department of Radiology, School of MedicineState University of New York at Stony BrookStony BrookUSA

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