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Abdominal Radiology
Published in: Abdominal Radiology 6/2015

01-08-2015 | Review Article

Subperitoneal extension of disease processes between the chest, abdomen, and the pelvis

Authors: Sherif Osman, Mariam Moshiri, Tracy J. Robinson, Martin Gunn, Bruce Lehnert, Dinesh Sundarkumar, Douglas S. Katz

Published in: Abdominal Radiology | Issue 6/2015

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Abstract

The subserous space is a large, anatomically continuous potential space that interconnects the chest, abdomen, and pelvis. The subserous space is formed from areolar and adipose tissue, and contains branches of the vascular, lymphatic, and nervous systems. As such, it provides one large continuous space in which many disease processes can spread between the chest, abdomen, and the pelvis.
Literature
1.
Moore KL (2013) The developing human: clinically oriented embryology, Chap 8. In: Body cavities and diaphragm, 9th edn. Philadelphia: Saunders, pp 145–157
2.
Sadler TW (2012) Langman’s medical embryology, Chap 7. In: The gut tube and the body cavities, 12th edn. Baltimore: Wolters Kluwer Health, pp 86–95
3.
Oliphant M, Berne AS, Meyers MA (1999) The subserous thoracoabdominal continuum: embryologic basis and diagnostic imaging of disease spread. Abdom Imaging 24:211–219PubMedCrossRef
4.
Meyers MA (2011) Dynamic radiology of the abdomen, normal and pathologic anatomy, Chap 3. In: Clinical anatomy of the abdomen, 6th edn. New York: Springer, pp 23–40
5.
Brunicardi FC (2010) Schwartz’s principles of surgery, Chap 25. In: Esophagus and diaphragmatic hernia, 9th edn. New York: McGraw-Hill
6.
Skandalakis JE (2004) Skandalakis’ surgical anatomy, Chap 15. In: Stomach. New York: McGraw-Hill
7.
Al-Motabagani MAH (2002) An anatomical study of the phrenoesophageal ligament. J Anat Soc India 51:18–22
8.
Kleinman PK, Brill PW, Whalen JP (1978) Anterior pathway for transdiaphragmatic extension of pneumomediastinum. AJR 131:271–275PubMedCrossRef
9.
Balthazar EJ, Moore SL (1996) CT evaluation of infradiaphragmatic air in patients treated with mechanically assisted ventilation: a potential source of error. AJR 167:731–734PubMedCrossRef
10.
Heller MT, Haarer KA, Thomas E, Thaete F (2012) Acute conditions affecting the perinephric space: imaging anatomy, pathways of disease spread, and differential diagnosis. Emerg Radiol 19:245–254PubMedCrossRef
11.
Shleyfer E, Nevzorov R, Jotkowitz AB, et al. (2006) Urinothorax: an unexpected cause of pleural effusion. Eur J Intern Med 17:300–30210PubMedCrossRef
12.
Garcia-Pachon E, Padilla-Navas I (2004) Urinothorax: case report and review of the literature with emphasis on biochemical diagnosis. Respiration 71:533–536PubMedCrossRef
13.
Ray K, Rattan S, Yohannes T (2003) Urinothorax: unexpected cause of a pleural effusion. Mayo Clin Proc 78:1433–1434PubMedCrossRef
14.
Gore RM, Newmark GM, Thakrar KH, Mehta UK, Berlin JW (2009) Pathways of abdominal tumour spread: the role of the subperitoneal space. Cancer Imaging 9:112–120PubMedCentralPubMedCrossRef
15.
Oliphant M, Berne AS, Meyers MA (1996) The subperitoneal space of the abdomen and pelvis: planes of continuity. AJR 167:1433–1439PubMedCrossRef
16.
Pickhardt PJ, Bhalla S (2005) Unusual nonneoplastic peritoneal and subperitoneal conditions: CT findings. Radiographics 25:719–730PubMedCrossRef
17.
Molmenti EP, et al. (1996) Anatomy of the retroperitoneum: observations of the distribution of pathologic fluid collections. Radiology 200(1):95–103PubMedCrossRef
18.
Osman S, Lehnert BE, Elojeimy S, et al. (2013) A comprehensive review of the retroperitoneal anatomy, neoplasms, and pattern of disease spread. Curr Probl Diagn Radiol 42:191–208PubMedCrossRef
19.
Thornton FJ, Kandiah SS, Monkhouse WS, Lee MJ (2001) Helical CT evaluation of the perirenal space and its boundaries: a cadaveric study. Radiology 218:659–663PubMedCrossRef
20.
Aizenstein RI, Wilbur AC, O’Neal HK, et al. (1997) Interfascial and perinephric pathways in the spread of retroperitoneal disease: refined concepts based on CT observations. AJR 168:639–643PubMedCrossRef
21.
Lee SL, Ku YM, Rha SE (2010) Comprehensive reviews of the interfascial plane of the retroperitoneum: normal anatomy and pathologic entities. Emerg Radiol 17:3–11PubMedCrossRef
22.
Gore RM, Balfe DM, Aizenstein RI, Silverman PM (2000) The great escape: interfacial decompression planes of the retroperitoneum. AJR 175:363–370PubMedCrossRef
23.
Ishikawa K, et al. (2005) Traumatic retroperitoneal hematoma spreads through the interfascial planes. J Trauma 59(3):595–607 (discussion 607–8)PubMed
24.
Scialpi M, Scaglione M, Angelelli G, et al. (2004) Emergencies in the retroperitoneum: assessment of spread of disease by helical CT. Eur J Radiol 50:74–83PubMedCrossRef
25.
Auh YH, et al. (1986) Extraperitoneal paravesical spaces: CT delineation with US correlation. Radiology 159(2):319–328PubMedCrossRef
26.
Mastromatteo JF, Mindell HJ, Mastromatteo MF, et al. (1997) Communications of the pelvic extraperitoneal spaces and their relation to the abdominal extraperitoneal spaces: helical CT cadaver study with pelvic extraperitoneal injections. Radiology 202:523–530PubMedCrossRef
27.
Kim SW, Kim HC, Yang DM, Min GE (2013) The prevesical space: anatomical review and pathological conditions. Clin Radiol 68:733–740PubMedCrossRef
28.
O’Connell AM, Duddy L, Lee C, Lee MJ (2007) CT of pelvic extraperitoneal spaces: an anatomical study in cadavers. Clin Radiol 62:432–438PubMedCrossRef
29.
Bittle MM, Gunn ML, Gross JA, Stern EJ (2012) Trauma radiology companion: methods, guidelines, and imaging fundamentals. Philadelphia: Lippincott Williams & Wilkins, pp 234–239
30.
Hashimoto M, Okane K, Hirano H, Watarai J (1998) Pictorial review: Subperitoneal spaces of the broad ligament and sigmoid mesocolon-imaging findings. Clin Radiol 53:875–881PubMedCrossRef
31.
Vikram R, Balachandran A, Bhosale PR, et al. (2009) Pancreas: peritoneal reflections, ligamentous connections, and pathways of disease spread. Radiographics 29:e34PubMedCrossRef
32.
Meyers MA (2011) Dynamic radiology of the abdomen, normal and pathologic anatomy, Chap 4. Mechanism of spread of disease in the abdomen and pelvis, 6th edn. New York: Springer, pp 41–68
33.
Kim SH, Shin SS, Jeong YY, et al. (2009) Gastrointestinal tract perforation: MDCT findings according to the perforation sites. Korean J Radiol 10:63–70PubMedCentralPubMedCrossRef
34.
35.
Murariu D, Tatsuno BK, Tom MK, You JS, Maldini G (2012) Subcutaneous emphysema, pneumopericardium, pneumomediastinum and pneumoretroperitoneum secondary to sigmoid perforation: a case report. Hawaii J Med Public Health 71:74–77PubMedCentralPubMed
36.
Alexiou K, Sakellaridis T, Sikalias N, et al. (2009) Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report. Cases J 2:120PubMedCentralPubMedCrossRef
37.
Marwan K, Farmer KC, Varley C, Chapple KS (2007) Pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and subcutaneous emphysema following diagnostic colonoscopy. Ann R Coll Surg Engl 89:W20–W21PubMedCentralPubMedCrossRef
38.
Scichilone N, Buttacavoli M, Camarda G, et al. (2009) A 15-year-old boy with anterior chest pain, progressive dyspnea, and subcutaneous emphysema of the neck. J Allergy (Cairo) 2009:496890
39.
Canivet JL, Yans T, Piret S, Frere P, Beguin Y (2003) Barotrauma-induced tension pneumoperitoneum. Acta Anaesthesiol Belg 54:233–236PubMed
40.
Koh ES, Chapeikin G (2004) Anterior infradiaphragmatic free gas following bronchial rupture: case report and literature review. Australas Radiol 48:58–60PubMedCrossRef
41.
Kim WH, Kim BH (2012) Bilateral pneumothoraces, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum, and subcutaneous emphysema after percutaneous tracheostomy: a case report. Korean J Anesthesiol 62:488–492PubMedCentralPubMedCrossRef
42.
Lostoridis E, Gkagkalidis K, Varsamis N, et al. (2013) Pneumoscrotum as complication of blunt thoracic trauma: a case report. Case Rep Surg 2013:392869PubMedCentralPubMed
Metadata
Title
Subperitoneal extension of disease processes between the chest, abdomen, and the pelvis
Authors
Sherif Osman
Mariam Moshiri
Tracy J. Robinson
Martin Gunn
Bruce Lehnert
Dinesh Sundarkumar
Douglas S. Katz
Publication date
01-08-2015
Publisher
Springer US
Published in
Abdominal Radiology / Issue 6/2015
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-014-0297-4

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