Dynamic Radiology of the Abdomen: Normal and Pathologic - download pdf or read online

By Morton A. Meyers MD FACR FACG

To First variation Few books current so clean an technique and so dynamic movement in the peritoneal hollow space is apparent an exposition as does Dynamic &diology if the a leap forward in our realizing of the unfold stomach: general and Pathologic Anatomy. of intraabdominal affliction, really abscesses This well-documented, essentially written, and and malignancies. Peritoneography, the opacifica­ fantastically illustrated e-book info the solutions no longer tion of the most important lumen within the physique, deals a in basic terms to "what is it?" but in addition "how?" and "why?" capability yield of gigantic diagnostic details. The Such basic information about the best definition of the 3 extraperitoneal pathogenesis of ailment in the stomach rein­ areas represents a charting of formerly unex­ forces and simplifies exact radiologic research. plored territory. knowledge of the renointestinal The attribute radiologic positive aspects of intra­ and duodenocolic relationships, the unfold of pan­ stomach ailments are proven to be simply iden­ creatitis alongside mesenteric planes, and the pathways tified, increasing the sensible software of the of extrapelvic unfold of illness back underscores time period "pattern acceptance. " It definitely is of practi­ the sensible significance of anatomic positive factors. The cal worth in day-by-day scientific adventure and may be of method of the mesenteric and antimesenteric massive aid for additional advances. borders of the small bowel and to the haustral pat­ the normal dissectional approach to studying tern of the colon provides a brand new measurement to the anatomy disturbs the intimate relationships of interpretation of belly radiology.

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Extra resources for Dynamic Radiology of the Abdomen: Normal and Pathologic Anatomy

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CT sean demonstrate s nodule of aeeessory splee n (As) in the hilus of the spleen (Sp) within the branehing ofthe splenie artery. LK = left kidney , A = adrenal gland, St = stomaeh. 12 Fig. 1-26. Hypertrophied residual accessory spleen. Nephrotomogram in a postspleneetomy patient shows lateral deviation of the left kidney and demonstrates the soft -tissue mass of an aeeessory spleen (AS), presumably hypertrophied. The aeeesso ry spleen was further verified by arteriography and a splenie sean . The normal left adrenal gland (A) is also identified.

Lesser sac Fig. 2-8. Sagittal section through the left lobe of the liver. The sma ller left lobe (LL) of the liver lies an te rio r to the stomach (5) , inc1uding both its upper fund ie and dist al body portion s. Ao = aorta, 24 Fig. 2-9. Parasagittal seetion through the left lobe of the Iiver, At this level, the pe rihepatic spaces are freel y continuous. The lesser sac is a dist inctly se pa ra te spa ce. D = duodenum, LK = left kidney, LL = left lobe o f liver, Lu = lung, P = pancreas, 5 = stomach, TC = transverse colon.

Secondary signs include scoliosis, elevation or splinting of a diaphragm, localized or generalized ileus, and pulmonary basilar changes. P" and computed tomography. 23 •26 Pelvic Abscesses Fluid introduced into the inframesocolic compartrnent almost immediately seeks the pelvic cavity, first filling out the central pouch ofDouglas (cul-de-sac) and then the lateral paravesical fossae (Fig . 2-15). A small amount in the left Fig. 2-15. Fluid accumuIation in peIvic recesses, (a) A small amount of contrast medium introduced into the peritoneal cavity immediately gravitates to the pelvis, filling out the central pouch of Douglas (PD) and then the lateral paravesical fossae (PV).

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