大网膜和小网膜的正常解剖及异常影像表现课件.pptVIP

Greater and Lesser Omenta: Normal Anatomy and Pathologic Processes 大网膜和小网膜的正常解剖及异常影像表现 大网膜和小网膜是个非常复杂的解剖区域。正因为如此，网膜病变从积液到弥漫性网膜浸润，CT表现表现多种多样，同时又无特征性。网膜不仅是限制病变扩散的屏障，同时又是病变传播的途径。 累及网膜的病变：感染、炎症、 肿瘤、 外伤 和坏死。 高分辨率螺旋CT扫描同时行多平面重建 能很好显示网膜的解剖结构和病变状况。充分认识网膜的影像解剖和病变的各种CT表现及一些特征性征象，对诊断和治疗具有非常必需的。 CT 扫描参数和重建技术 采用 16-section CT scanner，平扫和 增强: 0.5-second rotation time, 0.75-mm collimation, 3-mm section thickness, 35-cm field of view, 3-mm reconstruction thickness, 12-mm feed per rotation, 120 kV, and 140 mA。 常规采用3-mm section thickness 断面图像 。后处理工作站进行 sagittal、 coronal, or oblique 多平面重建。 Greater and Lesser Omenta: Normal Anatomy and Pathologic Processes1 Greater and Lesser Omenta: Normal Anatomy and Pathologic Processes1 Greater and Lesser Omenta: Normal Anatomy and Pathologic Processes1 Greater and Lesser Omenta: Normal Anatomy and Pathologic Processes1 Omental infarction in a 47-year-old man with abdominal pain. CT scans show localized fatty infiltration and congestion with a secondary mass (arrow) in the right lower aspect of the anterior abdomen. This appearance most likely indicates an omental infarction。 Foreign-body granuloma in a 39-year-old woman with a palpable mass for 10 years and abdominal pain for 1 week. Unenhanced CT scan shows a large, well-circumscribed mass with dense calcification in the anterior midabdomen, an appearance suggestive of a foreign-body granuloma or organizing hematoma. After injection of contrast material, the mass showed no enhancement. A foreign-body granuloma with surgical gauze 沙布瘤 was found at surgical excision. The patient had a history of cesarean section 10 years earlier。 Ventral hernia in a 66-year-old woman with a palpable mass in the abdomen. Sagittal CT scan shows herniation of omental fat through a defect (arrow) in the anterior abdominal wall. Focal ill-defined lesions with increased attenuation (arrowheads) in the omental fat