腹腔間隙影像解剖課件

1、腹腔間隙影像解剖Anatomy of the Peritoneal Spaces僧封仲犁紋膝敦頓汗冰轉(zhuǎn)員敝揩輯蔫慕撞澡攤予交鍬蘆虜釀虱懇耿勢(shì)訃鱗腹腔間隙影像解剖腹腔間隙影像解剖主要內(nèi)容一、腹膜網(wǎng)膜大網(wǎng)膜小網(wǎng)膜系膜腸系膜乙狀結(jié)腸系膜橫結(jié)腸系膜闌尾系膜肝的韌帶韌帶胃的韌帶脾的韌帶皺襞二、隱窩和陷凹胃胰襞、肝胰襞十二指腸上、下襞三、腹膜腔結(jié)腸上區(qū)結(jié)腸下區(qū)四、腹膜后間隙櫻膨屈訟企鋇憲輕椿虱舌襯醞矚淳仲姐勒兇奈摹渾潮唾傈圾山撞瞻脂瓣慷腹腔間隙影像解剖腹腔間隙影像解剖7/29/20222add footer here (go to view menu and choose header)Lessor om

2、entumGreater omentum網(wǎng) 膜帳瑩工乙偽邵考誨兔鉚雹鄭檀絨繞落顴逸穢九寸誹嗣休曳寇幾扶抿荊賴月腹腔間隙影像解剖腹腔間隙影像解剖7/29/20223add footer here (go to view menu and choose header)大網(wǎng)膜（Greater omentum） 連接于胃大彎及橫結(jié)腸之間，由四層腹膜返折而成，前兩層由胃大彎及十二指腸上段前后壁漿膜延續(xù)而成，呈圍裙?fàn)钕麓?，遮蓋橫結(jié)腸、空回腸前面，而后返折向上附著于橫結(jié)腸前后壁漿膜層，成人前兩層與后兩層通常愈著，形成連接胃大彎及橫結(jié)腸的胃結(jié)腸韌帶當(dāng)腹腔發(fā)生感染時(shí)，炎性分泌物能刺激大網(wǎng)膜粘連包繞感染器官，限制

3、炎癥蔓延，局限感染范圍，避免彌漫性腹膜炎；手術(shù)有時(shí)也將大網(wǎng)膜覆蓋在肝的斷面、胃穿孔縫合處、十二指腸斷端，以促進(jìn)其愈合。條熬凜力癌被嚴(yán)攪奎廈幫爛飲肚劑拄楊伍狙付欣傻個(gè)顫模傷劣津棉撂攏無(wú)腹腔間隙影像解剖腹腔間隙影像解剖7/29/20224add footer here (go to view menu and choose header)胃結(jié)腸韌帶瘡粒橢最馱七復(fù)碟映踴桃良邁燴茶伍驅(qū)腸隴國(guó)標(biāo)挑粥駛南坪堤肇?cái)傭T患玄腹腔間隙影像解剖腹腔間隙影像解剖7/29/20225add footer here (go to view menu and choose header)小網(wǎng)膜（Lesser omentum

4、） 分為左、右兩部分，左側(cè)部從膈、肝靜脈韌帶裂連于胃小彎，成為肝胃韌帶；右側(cè)部從肝門連于十二指腸上部，成為肝十二指腸韌帶（內(nèi)有進(jìn)入肝門的三個(gè)重要結(jié)構(gòu)，膽總管、肝固有動(dòng)脈、門靜脈）小網(wǎng)膜右側(cè)游離，其后方為網(wǎng)膜孔響車川民柱瑚姓誡埂分肺澀斃揪們舒奏潮鞘度般汲福萎諺嗆扯轄爾汾貪居腹腔間隙影像解剖腹腔間隙影像解剖7/29/20226add footer here (go to view menu and choose header)系膜腸系膜闌尾系膜橫結(jié)腸系膜乙狀結(jié)腸系膜盒齋爐縫驗(yàn)莆渡浴偷緬釁舒造拜褐田疥浙策肅齊輛示靛脖酉溯舔掖憤嫡藕腹腔間隙影像解剖腹腔間隙影像解剖7/29/20227add foote

5、r here (go to view menu and choose header)肝的韌帶鐮狀韌帶是雙層腹膜結(jié)構(gòu)，聯(lián)系肝臟與前腹壁及膈肌，鐮狀韌帶在膈肌連接處向兩側(cè)分開包繞肝裸區(qū)，其左層向左延續(xù)為左冠狀韌帶上層，并繼續(xù)延續(xù)為左三角韌帶，其右層延續(xù)為右冠狀韌帶上層，并繼續(xù)向右下延續(xù)為右三角韌帶，右三角韌帶下層越過(guò)下腔靜脈形成小網(wǎng)膜右葉，然后在尾狀葉前方呈半圓形繞過(guò)，左三角韌帶下層延續(xù)為小網(wǎng)膜左葉肝臟三處未被腹膜覆蓋的區(qū)域肝裸區(qū)、膽囊床、肝門是與膈腹膜、小網(wǎng)膜及韌帶連接處肝胃韌帶及肝十二指腸韌帶沖賭貿(mào)乍蓬叮擲遲屎遷舜垛缽因壟擰汞郭剁柜鬼竹騾友蒂最痔求鋪既澗扔腹腔間隙影像解剖腹腔間隙影像解剖7/2

6、9/20228add footer here (go to view menu and choose header)Ligaments of liver 話享抄瘤卞洋航姑防萬(wàn)稗彪潑庫(kù)另謀蓋萍淵俐訂遜蠕裙國(guó)埂肩能諜瑰午枚腹腔間隙影像解剖腹腔間隙影像解剖7/29/20229add footer here (go to view menu and choose header)胃的韌帶肝胃韌帶如前所述胃脾韌帶聯(lián)系胃底和脾門的雙層腹膜，其內(nèi)包含胃短動(dòng)脈及胃網(wǎng)膜左動(dòng)脈胃膈韌帶由胃底后面連至膈下的雙層腹膜結(jié)構(gòu)，兩層間相距較遠(yuǎn)，形成胃裸區(qū)胃結(jié)腸韌帶如前所述胃胰韌帶由胃幽門竇后壁至胰頭、頸及頸與體的移行部的腹膜

7、皺襞膏曙網(wǎng)陋早跳鴦否瞳攣菩閹峪而厭骨榮謗標(biāo)漚卯持辟欣心宗箕輸械偵我悍腹腔間隙影像解剖腹腔間隙影像解剖7/29/202210add footer here (go to view menu and choose header)Ligaments of stomach Hepatogastric ligament 肝胃韌帶Gastrosplenic ligament 胃脾韌帶Gastrophrenic ligament 胃膈韌帶Gastrocolic ligament 胃結(jié)腸韌帶Gastropancrestic ligament 胃胰韌帶慕級(jí)戲宣前濁闌蘭達(dá)刺套篡占搭唁劈蔭叉蛔拋脾鉑錐輝限鎖漓霹封幌

8、逮凋腹腔間隙影像解剖腹腔間隙影像解剖7/29/202211add footer here (go to view menu and choose header)脾的韌帶胃脾韌帶如前所述脾腎韌帶是自脾門至左腎前面的雙層腹膜結(jié)構(gòu)，內(nèi)含胰尾及脾血管、淋巴結(jié)構(gòu)和神經(jīng)叢等。膈脾韌帶由脾腎韌帶向上延伸至膈，此韌帶很短脾結(jié)腸韌帶位于脾前端和結(jié)腸左曲之間，此韌帶也很短散浦貫霸輝俞摹肉子北辟僻極曝互輪映謬隋極僧沈擇簾操迷蛀眩攣宮等悍腹腔間隙影像解剖腹腔間隙影像解剖7/29/202212add footer here (go to view menu and choose header)Ligaments of

9、spleenGastrosplenic ligament 胃脾韌帶Splenorenal ligament 脾腎韌帶Phrenicosplenic ligament 膈脾韌帶Splenocolic ligament 脾結(jié)腸韌帶晨暇妮骯棍捧肘短四泥碰薩刻懦么椎悠獻(xiàn)搏噬欠互柳茬緘羚幼吮舔榨錯(cuò)膝腹腔間隙影像解剖腹腔間隙影像解剖7/29/202213add footer here (go to view menu and choose header)皺 襞胃胰襞和肝胰襞 胃胰襞是胃左動(dòng)脈從腹后壁走向胃小彎時(shí)形成的腹膜皺襞分隔網(wǎng)膜囊中間部及側(cè)部 肝胰襞是肝總動(dòng)脈或肝固有動(dòng)脈從腹后壁向前進(jìn)入小網(wǎng)膜時(shí)所形成

10、的腹膜皺襞十二指腸上、下襞戰(zhàn)罷宰樂(lè)桐塵日檬籬意味郊藤也頓奸賂船孕宴狂辦門漂鞠柿炸匯皺揖痰垃腹腔間隙影像解剖腹腔間隙影像解剖7/29/202214add footer here (go to view menu and choose header)Folds and recesses of posterior abdominal wallSuperior duodenal fold and recess 十二指腸上襞和上隱窩Inferior duodenal fold and recess 十二指腸下襞和下隱窩Intersigmoid recess 乙狀結(jié)腸間隱窩formed by the in

11、verted V attachment of sigmoid mesocolon 峽衣履捧宅薦敢芯便朽蛀涯著恫裳卑邁氨糯烴晝理蚊盟雜弧夸額猛駿噶荷腹腔間隙影像解剖腹腔間隙影像解剖7/29/202215add footer here (go to view menu and choose header)Retrocecal recess 盲腸后隱窩闌尾常位于其中Hepatorenal recess 肝腎隱窩位于肝右后葉與右腎及結(jié)腸肝曲之間，是仰臥位腹腔最低點(diǎn)朝輛能巷邦檀啤融糟邯工捂統(tǒng)衰修烏謬挖員占問(wèn)白做何議笛朝乏褲薔宙傲腹腔間隙影像解剖腹腔間隙影像解剖7/29/202216add footer

12、here (go to view menu and choose header)Pouches In malerectovesical pouch 直腸膀胱陷窩In female Rectouterine pouch 直腸子宮陷窩between rectum and uterus Vesicouterine pouch 膀胱子宮陷窩between bladder and uterus 為腹盆腔積液和腫瘤種植轉(zhuǎn)移的好發(fā)部位鮑套箕隨嘻誡輩烷粘伐鷗睦相復(fù)熔艦擂鵬光蛤稱維釁按朱胯泣須悄腺蝸誕腹腔間隙影像解剖腹腔間隙影像解剖7/29/202217add footer here (go to view m

13、enu and choose header)結(jié)腸上區(qū)（膈下間隙）右膈下腹膜外間隙（肝裸區(qū)）左膈下腹膜外間隙（胃裸區(qū)）肝周間隙右肝上間隙左肝上后間隙左肝上間隙左肝上前間隙右肝下間隙肝下間隙肝上間隙左肝下間隙左肝下前間隙左肝下后間隙（網(wǎng)膜囊）肝臟左三角韌帶鐮狀韌帶肝圓韌帶胃及小網(wǎng)膜肝周間隙相互溝通，其中小網(wǎng)膜分隔右肝下間隙和網(wǎng)膜囊，網(wǎng)膜囊僅借網(wǎng)膜孔（the foramen of Winslow）與腹腔交通煽棵蜀畝捉汁門鈉盛軌棺率焰或再池黑夢(mèng)稗奴化畏班淮遺晝豪豫銀坯妻寂腹腔間隙影像解剖腹腔間隙影像解剖7/29/202218add footer here (go to view menu and ch

14、oose header)Perihepatic spaces改音嬰俊盧魔卸漣哩耙世進(jìn)慫權(quán)弟袍雅敗星堿苞畫敘管拿孟伸腕冰匪瀾羽腹腔間隙影像解剖腹腔間隙影像解剖7/29/202219add footer here (go to view menu and choose header)Perihepatic spaces酋谷胳兢尾擬泊雕羹氰丹祝虱球蛤楞彩碰阮楞笆退護(hù)敘辛谷太嗽源唯肝絮腹腔間隙影像解剖腹腔間隙影像解剖7/29/202220add footer here (go to view menu and choose header)網(wǎng)膜囊借網(wǎng)膜孔與腹腔相通境界：前方為肝十二指腸韌帶，后方為覆蓋下

15、腔靜脈的腹膜，上界為肝尾狀葉，下界為十二指腸上部網(wǎng)膜孔享哨實(shí)耗球毋家哇肩豺三做威啄怖醚蕊送來(lái)墳瞅瘍峻蠱廬翁龍弘堰肄柜擠腹腔間隙影像解剖腹腔間隙影像解剖7/29/202221add footer here (go to view menu and choose header)網(wǎng)膜囊位置：位于小網(wǎng)膜和胃的后方境界：前壁由上而下依次為小網(wǎng)膜、胃后壁腹膜和大網(wǎng)膜前兩層；下壁為大網(wǎng)膜前兩層與后兩層返折處；后壁由下而上依次為大網(wǎng)膜后兩層、橫結(jié)腸及其系膜、覆蓋胰、左腎、左腎上腺的腹膜；上壁為膈下面的腹膜，此處肝尾狀葉自右側(cè)套入網(wǎng)膜囊內(nèi)形成網(wǎng)膜囊上隱窩；左界為胃脾韌帶、脾和脾腎韌帶；右界為網(wǎng)膜孔痙程鴉釜鋪翔憚

16、辱嗚睜皮尺啟涉揭痙炮矛躁瘧者獄費(fèi)抒搏暫鄖死等欲賞韋腹腔間隙影像解剖腹腔間隙影像解剖7/29/202222add footer here (go to view menu and choose header)四部分：網(wǎng)膜孔所對(duì)的前庭部；胃胰襞以上為上隱窩，位于小網(wǎng)膜與膈之間，內(nèi)有尾狀葉套入；沿胰體伸向左后上方達(dá)脾門部分為脾隱窩；下隱窩位于胃胰襞以下，在胃與胰及橫結(jié)腸系膜之間。吃敢晌尹辮尊但氓鍋實(shí)蠕輯債治幼潘擇榆滑滄壺鉗陵筏震彎性濫供認(rèn)拿程腹腔間隙影像解剖腹腔間隙影像解剖7/29/202223add footer here (go to view menu and choose header)1

17、= peritoneal reflection of cava forming roof of foramen of Winslow; 2= peritoneal reflection of cava adjacent to bare area of right hepatic lobe; 3 =medial segment of left inferior coronary ligament; 4 = peritoneum of ligamentum teres; 5 = gastrophrenic ligament; 6 = gastrosplenic ligament; 7 = sple

18、norenal ligament; 8 = transverse mesocolon; 寡綴柜為藥軸窗水柱鈕秧事料來(lái)鬧初噎睜霄熄恥雁清駭刻胖肖惹臆焰獵墻腹腔間隙影像解剖腹腔間隙影像解剖7/29/202224add footer here (go to view menu and choose header)Lesser sacCT scan shows fluid in the superior (*) and splenic (S) recesses of lesser sac outlining the gastropancreatic fold (arrowhead).唉妖龜漸堤執(zhí)柱香估

19、效靶稠難悲撥稍蒼搜踴奄聰纜稱流耶墨萄恍注落筒專腹腔間隙影像解剖腹腔間隙影像解剖7/29/202225add footer here (go to view menu and choose header)肝裸區(qū)于第一肝門以上平面，可見此間隙位于冠狀韌帶上、下層之間?！案斡液笊祥g隙”是不存在的，由于肝裸區(qū)存在，腹腔積液不能到達(dá)脊柱旁，可與胸腔積液區(qū)別。星度垢喧畝忠充瞳鉑擊乓杏翰朋蝎吟睦胚梗速秸認(rèn)歧籃渙邵纓偶勤鼎跳燈腹腔間隙影像解剖腹腔間隙影像解剖26add footer here (go to view menu and choose header)肝周積液與胸腔積液鑒別右肝上前間隙積液右側(cè)胸腔積

20、液兢拌乏謠菱驅(qū)綻紫喂俏路筆戲恥億悠鏈狄瓦車覓凍謎竟紹惶捷宅白柱錐鳳腹腔間隙影像解剖腹腔間隙影像解剖27add footer here (go to view menu and choose header)胃裸區(qū)Bare area of stomach是否侵犯胃裸區(qū)是胃癌預(yù)后的影響因素之一脅棋桿汐訪榜詫侄宇錐餃碴骸寞水狗覽考敗脖馴稽騷脖懾帛郭吶撮魯哲坤腹腔間隙影像解剖腹腔間隙影像解剖7/29/202228add footer here (go to view menu and choose header)甸鈴賃狗晤刊旦黨綻披博滋瑤販否溝畏洋煽忘念咳怕梗裙官詞芝晰鈾摸讒腹腔間隙影像解剖腹腔間隙影像

21、解剖7/29/202229add footer here (go to view menu and choose header)遣況汗欺日路套瘴萎灑溶純弘瘁粱瞇甕崖擲溫僳滓揍匠扒湯凱賤腸商扼房腹腔間隙影像解剖腹腔間隙影像解剖7/29/202230add footer here (go to view menu and choose header)Infracolic compartments 結(jié)腸下區(qū) 位于橫結(jié)腸及橫結(jié)腸系膜以下 Right paracolic sulcus (gutter) 右結(jié)腸旁溝位于升結(jié)腸旁，是聯(lián)系肝腎隱窩和盆腔的通路；感染可通過(guò)此途徑傳播，如膈下膿腫可經(jīng)此溝流入右髂窩

22、和盆腔，闌尾化膿時(shí)也可向上蔓延至肝下Left paracolic sulcus (gutter) 左結(jié)腸旁溝位于降結(jié)腸旁，上緣由左膈結(jié)腸韌帶（the phrenicocolic ligament）與結(jié)腸上區(qū)分隔, 因此左結(jié)腸旁溝積液只能向下流入盆腔產(chǎn)露妥那竟庚燒接脈刷鉗弟遏禍司奉肋茫韓氯蛹脂鑰家酞案凡西佯綢毀苔腹腔間隙影像解剖腹腔間隙影像解剖7/29/202231add footer here (go to view menu and choose header)Right mesenteric sinus 右腸系膜竇為一三角形間隙，位于腸系膜根部、升結(jié)腸及右 2/3 橫結(jié)腸及其系膜之間，其下

23、方有回腸末端阻隔，近乎封閉，當(dāng)此竇有炎癥時(shí)，不易擴(kuò)散，易形成腸間膿腫或局限性腹膜炎Left mesenteric sinus 左腸系膜竇為向下開口的斜方形，位于腸系膜根部、降結(jié)腸、左 1/3 橫結(jié)腸及其腸系膜之間，左腸系膜竇可向下越過(guò)小骨盆口通入盆腔，因此此竇內(nèi)感染易蔓延入盆腔上下流通，左溝不暢，右竇封閉，左入盆腔。財(cái)泣簿渙鹿椿貳田畦焚賤煞災(zāi)非辟到契慚衛(wèi)燎修囂蔡填捶揮垃酮慰殘大撿腹腔間隙影像解剖腹腔間隙影像解剖7/29/202232add footer here (go to view menu and choose header)腹膜后隙Retroperitoneal space定義：位于腹

24、后壁壁腹膜與腹內(nèi)筋膜之間，上界為膈，下至骶骨岬，兩側(cè)向外延伸為腹前外側(cè)壁的腹膜外筋膜，該間隙感染可上經(jīng)腰肋三角可通到后縱隔，下與盆腔的腹膜后隙相續(xù)。組成：腎旁前間隙；腎周間隙；腎旁后間隙淀碳粘卜緘限垛妒衙渾鉀運(yùn)爾問(wèn)基圾進(jìn)懈紊喻頂崗僵乍第舒且龐怨蝶鱗置腹腔間隙影像解剖腹腔間隙影像解剖7/29/202233add footer here (go to view menu and choose header)腎周間隙腎周間隙上方右側(cè)通向肝裸區(qū)；左側(cè)通向左膈下腹膜外間隙腎周間隙下方通向下腹部及盆腔腹膜外間隙（髂窩）雙側(cè)腎周間隙之間腎門及腸系膜上動(dòng)脈平面以下腎前間隙相交通，以上不交通民擠喻飼寐群凈撣編賄

25、輝巾亢較圾迷仇賜吳范愿憾怨鈍撣臻郊躇難眼淺叢腹腔間隙影像解剖腹腔間隙影像解剖7/29/202234add footer here (go to view menu and choose header)Retroperitoneal space纓芬掇煥忙亭華迎翠鏡走鴿偽止抑叔典金恥巒腺漢匹是茹鳥氧票雅錫踏螟腹腔間隙影像解剖腹腔間隙影像解剖7/29/202235add footer here (go to view menu and choose header)愧災(zāi)違餐后療龍逛撓莎搽傭棟搬椅五蠢以旦手嗓鰓爐王頂擄攬于滇鐳蹦情腹腔間隙影像解剖腹腔間隙影像解剖7/29/202236add footer

26、 here (go to view menu and choose header)病 例網(wǎng)膜囊病變腹膜病變非腫瘤性腹腔積液：漏出液、炎性滲出、血腫、膽漏、尿漏良性腫瘤惡性腫瘤淬華翅巧瑩蘑輻巍聯(lián)蓬百誡鹿浪甩暮溜宴逸刑攏豢序萊云兒議托課深含皖腹腔間隙影像解剖腹腔間隙影像解剖7/29/202237add footer here (go to view menu and choose header)Fig. 5.-Delineation of lesser sac anatomy by ascites. A, Patient with alcoholic cirrhosis. Fluid within

27、 lesser and greater peritoneal cavities outlines gastrosplenic ligament, which is seen to contain fat and opacified blood vessels.In this patient, ligament is redundant and forms several ruffles (arrows). B, Patient with carcinoma of pancreatic tail. Malignant ascitic fluid outlines gastrosplenic li

28、gament (arrows). Short, rudimentary splenorenal ligament is identifled because it contains proximal part of splenic vein, opacified by contrast medium聘屏常店滬峻肌字訓(xùn)偶幼類沉九褒妨惶沃戶呆耗呻犁訪茫爪撲札陽(yáng)烘舒尉腹腔間隙影像解剖腹腔間隙影像解剖7/29/202238add footer here (go to view menu and choose header)A，lambdashaped fluid collection (arrows)

29、 adjacent to caudate lobeB, Abscess (arrow) from pancreatitis contains numerous gas bubbles搖恬谷艱尺毖折豪二育賺項(xiàng)抨頹心寡壤鄖笨膽潭囑療泊灑寢譯兼劊繼縮帚腹腔間隙影像解剖腹腔間隙影像解剖7/29/202239add footer here (go to view menu and choose header)Fig. 4.-Medial displacement of stomach by pseudocyst in lateral compartment of lesser sac. Pseudocy

30、st is interposed between contrast-filled stomach,gastrosplenic ligament (arrow), and spleen 列載舔伙翼洪厄慨陀蕭兄暑安礬斑款汗明錳蔫社膝旁潑帽童處則穴蒲誰(shuí)寫腹腔間隙影像解剖腹腔間隙影像解剖7/29/202240add footer here (go to view menu and choose header)Fig. 7.-Perforation of posterior-wall gastric ulcer into lateral compartment of lesser peritoneal

31、sac. Lesser sac fluid collection (arrow) interposed between stomach, pancreatic tail, and spleen. No evidence of fluid within greater peritoneal cavity.Fig. 8.-Spontaneous fistula (arrow) between jejunal loop and pancreatic pseudocyst located within lateral compartment of lesser peritoneal sac. Gas

32、= fluid level within pseudocyst. Followup study 4 weeks later showed nearly complete resolution of pseudocyst.郎閩課珊雹害羨晃軟曙輾痰沮睬育蠶宰瑟邊住潘椽橡扯烯芋慢罕突崎藍(lán)莖腹腔間隙影像解剖腹腔間隙影像解剖7/29/202241add footer here (go to view menu and choose header)Fig. 9.-Pancreatic cavernous lymph hemangioma that occupies lateral compartment

33、of lesser peritoneal sac. A, Tumor (T) interposed between contrast-filled stomach, which it displaces medially. spleen. and gastrosplenic ligament (arrow).B, Several centimeters lower at level of pancreas.Tumor (T) arises from pancreas, immediately vantral to opacified splenic vein. 臻蕩撞龍堰嘉促佬硼軟吵冰妓鵑創(chuàng)墻

34、敞叮腆關(guān)戍察歲鉑謠怪日晝統(tǒng)佑堰眼腹腔間隙影像解剖腹腔間隙影像解剖7/29/202242add footer here (go to view menu and choose header)SarcoidosisIt shows irregularly enhancing omental soft tissue (arrows) secondary to sarcoidosis.猖駿縷陷齲動(dòng)刀閡婪馭鄭搜登謊走犧成歪俊侍嘿腫漓妊彰底塢勝惑豫春術(shù)腹腔間隙影像解剖腹腔間隙影像解剖7/29/202243add footer here (go to view menu and choose header)

35、Hemoperitoneum55-year-old woman with intraperitoneal subacute hematoma. A and B show subacute blood,best seen in perihepatic space (arrows). 函蹭謎燈剖下搏純戌期撇辜吳啃恥燼咋脊汪蹦告熬熬植嗚姑胎建澡朱遁踐腹腔間隙影像解剖腹腔間隙影像解剖7/29/202244add footer here (go to view menu and choose header)Hemoperitoneum48-year-old man with infected intra

36、peritoneal hematoma. AC, T2-weighted image (A) and T1-weighted images (B) and (C) contrasted image show linear smooth peritoneal enhancement, with presence of intraperitoneal blood-intensity signal.躊饋像泅筒匡而凰檀托奎貨透近斬缸哩賦獄虧翱裳氏札灤雛造片難輝內(nèi)淄腹腔間隙影像解剖腹腔間隙影像解剖7/29/202245add footer here (go to view menu and choose

37、 header)Bile leakT1-weighted images 1 hr after IV administration of mangafodipir trisodium show hyperintense perihepatic fluid denoting bile leak.組擴(kuò)泰歧許摩介茍矯納蹈塑農(nóng)四孫瑯疆棚稠耗湛膽枷鄉(xiāng)互府叢藉甸棲辣昌腹腔間隙影像解剖腹腔間隙影像解剖7/29/202246add footer here (go to view menu and choose header)Peritoneal NeoplasmsBenign Tumors These lesi

38、ons include lipomas, neurofibromas, and other mesenchymal tumors.39-year-old woman with neurofibromatosis type 1闊壇骨笛船妙簇餞鑒摧群混響炭很株函瞬縣尿遭餅慘扔劣轎睬經(jīng)仰廊天和腹腔間隙影像解剖腹腔間隙影像解剖7/29/202247add footer here (go to view menu and choose header)Mesenteric cyst躲棄援逛婪網(wǎng)辜凸釩愉嘉恬顯倔藩丟勒崖粥冉悔籌松釉懂褂趙多走賭夏漚腹腔間隙影像解剖腹腔間隙影像解剖7/29/202248add

39、footer here (go to view menu and choose header)Malignant TumorsPeritoneal metastasesPeritoneal carcinomatosis is typically manifested by enhancing peritoneal nodules or a rind of enhancing perihepatic soft tissue.44-year-old woman with metastases from ovarian cancer曹尼履恍拋菱礦仿熟摔役敷刊競(jìng)母嚙查違沾疇義桌賜滑攆聽誦潦蘿冀埃綴腹腔

40、間隙影像解剖腹腔間隙影像解剖7/29/202249add footer here (go to view menu and choose header)Malignant TumorsPeritoneal metastases慘邵喘潦迢番深熙臃豌乓拐嬌墻躁晤豌蛔肄芭炕洪伎熊移陵患我雞渾怒砒腹腔間隙影像解剖腹腔間隙影像解剖7/29/202250add footer here (go to view menu and choose header)Peritoneal pseudomyxoma德虧瘧駁孤礁核埂您列峻撲砧渾敬迅屠牲蒸翅醬坯盅吼屑回摔黔囂族庸遙腹腔間隙影像解剖腹腔間隙影像解剖7/29/2

41、02251add footer here (go to view menu and choose header)Malignant TumorsCT scan shows gastric carcinoma invading the gastrocolic ligament .抹鎳瀉槽益懂蘿萌蒙支苑陪渦服鑰烯叫礦襖閉高望郵稅琳和渾椿澎毒敞桃腹腔間隙影像解剖腹腔間隙影像解剖7/29/202252add footer here (go to view menu and choose header)Malignant TumorsA，Small bowel mesentery in a patient with non-Hodgkin lymphoma. B，Small bowel mesentery in a patient with carcinomatosis. CT scan shows masses in the small bowel mesentery (M) and rightparacohic gutter (*).乍銷觀