Radiological anatomy of abdominal spaces ...pathway of tumor and infection spread

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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.

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Radiological anatomy of abdominal spaces ...pathway of tumor and infection spread

  1. 1. Abdominal fascial planes.. Dr/Ahmed Bahnassy Consultant Radiologist RMH
  2. 2. Importance High ways for pathology Infection Fluid Neoplasm
  3. 3. Level I•Upper abdominal spaces
  4. 4. Embryology
  5. 5. Peritoneal folds related to the Spleen& Kidney:-• Gastrosplenic ligament.• Splenorenal (lienorenal) ligament:connects the spleen to the posterior abdominal wall over the left kidney.
  6. 6. Lesser Sac
  7. 7. Is it important ?!• Lesser sac fluid = neighboring pathology
  8. 8. Perihepatic spaces
  9. 9. Glisson capsule and sheath
  10. 10. Cholecystitis
  11. 11. Cullen sign
  12. 12. Tumour spread
  13. 13. Level II• Retroperitoneum
  14. 14. axial
  15. 15. Retroperitoneum. Sagittal
  16. 16. Relation to midline
  17. 17. Inferiorextensions
  18. 18. 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.
  19. 19. Level III•Pelvis & down .
  20. 20. Pelvic spaces-sagittal
  21. 21. Pelvic spaces coronal
  22. 22. Perineal spaces
  23. 23. Perineal spaces-relation to thigh
  24. 24. • Now let’s apply
  25. 25. Grey Turner sign
  26. 26. • Follow pathology routes

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