解剖腹腔图像.ppt

腹腔间隙影像解剖Anatomy of the Peritoneal Spaces;主要内容;;大网膜（Greater omentum） ;胃结肠韧带;小网膜（Lesser omentum） ;系膜;肝的韧带;Ligaments of liver ;胃的韧带;Ligaments of stomach ;脾的韧带;Ligaments of spleen;皱 襞;Folds and recesses of posterior abdominal wall;;;结肠上区（膈下间隙）;Perihepatic spaces;Perihepatic spaces;网膜囊借网膜孔与腹腔相通;网膜囊;四部分：网膜孔所对的前庭部；胃胰襞以上为上隐窝，位于小网膜与膈之间，内有尾状叶套入；沿胰体伸向左后上方达脾门部分为脾隐窝；下隐窝位于胃胰襞以下，在胃与胰及横结肠系膜之间。;1 = 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 = splenorenal ligament; 8 = transverse mesocolon; ;Lesser sac;肝裸区;肝周积液与胸腔积液鉴别;胃裸区Bare area of stomach;塞影锦尝墒宵荚迢何鼓觅萎触怜抉输柒警唁梗辱伤皋儿泳霖霄摇歌不馒赎解剖腹腔图像解剖腹腔图像;惜磊氛痴勾弯志运酉护哩辙辛支墅漆打十褂涂跪阶动濒奄奎售俱电橡洽踊解剖腹腔图像解剖腹腔图像;;;腹膜后隙Retroperitoneal space;肾周间隙;Retroperitoneal space;料汽滩咀柴颜抽婪帖骇能悸小沸粟冀璃肤境忆凑抛绎府滚舅湾漓反躲榜犹解剖腹腔图像解剖腹腔图像;病 例;;A，lambdashaped fluid collection (arrows) adjacent to caudate lobe B, Abscess (arrow) from pancreatitis contains numerous gas bubbles;Fig. 4.-Medial displacement of stomach by pseudocyst in lateral compartment of lesser sac. Pseudocyst is interposed between contrast-filled stomach,gastrosplenic ligament (arrow), and spleen ;;Fig. 9.-Pancreatic cavernous lymph hemangioma that occupies lateral compartment 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. ;Sarcoidosis;Hemoperitoneum;Hemoperitoneum;Bile leak;Peritoneal NeoplasmsBenign Tumors;Mesenteric cyst;Malignant TumorsPeritoneal metastases;Malignant TumorsPeritoneal metastases;Peritoneal pseudomyxoma;Malignant Tumors;Malignant Tumors;Malignant TumorsPeritoneal mesothelioma;Malignant TumorsMesenteric carcinoid;要 点;最常见的腹膜