Radiological anatomy of abdominal spaces ...pathway of tumor and infection spread
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Abdominal fascial planes.. Dr/Ahmed Bahnassy Consultant Radiologist RMH
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The lecture combines gross anatomy with cross sectional imaging in evaluation of different abdominal and pelvic cavities and recesses.This will explain the routes of spread of infection or malignancies.
Transcript of Radiological anatomy of abdominal spaces ...pathway of tumor and infection spread
Abdominal fascial planes..
Dr/Ahmed Bahnassy
Consultant Radiologist
RMH
High ways for pathology
InfectionFluidNeoplasm
Importance
Level I
•Upper abdominal spaces
Embryology
Peritoneal folds related to the Spleen& Kidney:-
• Gastrosplenic ligament.
• Splenorenal (lienorenal) ligament:
connects the spleen to the posterior abdominal wall over the left kidney.
Lesser Sac
Is it important ?!
• Lesser sac fluid = neighboring pathology
Perihepatic spaces
Glisson capsule and sheath
Cholecystitis
Cullen sign
Tumour spread
Level II
•Retroperitoneum
axial
Retroperitoneum.Sagittal
Relation to midline
Inferior extensions
Ilio-psoas spaces
• The iliopsoas compartment consists of the psoas major, psoas minor, and iliacus muscles.
• The psoas major muscle arises from the transverse processes of the 12th thoracic and lumbar vertebrae
• merges with the iliacus muscle at the level of the L5 through S2 vertebrae to form the iliopsoas muscle.
Level III
•Pelvis & down .
Pelvic spaces-sagittal
Pelvic spaces coronal
Perineal spaces
Perineal spaces-relation to thigh
•Now let’s apply
Grey Turner sign
• Follow pathology routes
