Dynamic Radiology of the Abdomen

by Meyers, Morton A.

• ISBN13: 9780387988450
• ISBN10: 0387988459
• Edition: 5th
• Format: Hardcover
• Copyright: 2000-05-01
• Publisher: Springer Verlag

Summary

Meyers' Dynamic Radiology of the Abdomen, extensively revised and updated, is the classic text covering radiology of the abdomen as it relates to the progression of disease within an organ and from one organ to another. The book provides a systematic application of anatomic and dynamic principles to the practical understanding and diagnosis of intraabdominal disease. The full range of imaging modalities is addressed, from plain films and conventional contrast studies to CT, US, MRI and endoscopic ultrasonography. Highly selected, ample images including CT and MRI support the thoroughly descriptive text. Expanded references, citing both the classic and recent contributions, and a detailed cross-referenced index are presented. For radiologists, general surgeons, gastroenterologists, and others seeking insight into the clinical practice of radiology, this text continues to be the gold standard in the field.

Table of Contents

Preface to the Fifth Edition	vii
Foreword to the First Edition	xi
R.H. Marshak
Foreword to the First Edition	xiii
L.M. Nyhus
Contributors	xxi
Color Insert	539
General Considerations: Dynamics of Image Analysis	1	(8)
Normal Anatomic Relationships and Dynamic Principles of Pathways of Spread and Localization of Disease	1	(3)
Visual Factors: Perception of the Image	4	(3)
References	7	(2)
Clinical Embryology of the Abdomen: Normal and Pathologic Anatomy	9	(48)
Bruce R. Javors
Hiromu Mori
Morton A. Meyers
Ronald H. Wachsberg
Early Development of the Embryo	9	(1)
Diaphragm	9	(1)
Gastrointestinal Tract	10	(11)
Duodenal Web and Bowel Duplication	10	(3)
Embryologic Rotation and Fixation of Gut	13	(3)
Volvulus	16	(3)
Meckel's Diverticulum	19	(2)
Hepatobiliary System	21	(4)
Hepatic Lobar Agenesis	21	(2)
Ectopic and Accessory Gallbladders	23	(1)
Choledochal Cyst	23	(2)
Hepatic Duct Diverticulum	25	(1)
Portal Venous System	25	(7)
Portohepatic Venous Shunt	27	(1)
Preduodenal Portal Vein	27	(4)
Ductus Venosus	31	(1)
Aneurysmal Dilation of the Portal Vein	31	(1)
Agenesis of the Portal Vein	32	(1)
Pancreas	32	(11)
Annular Pancreas	33	(1)
Pancreas Divisum	33	(1)
Agenesis of the Dorsal Pancreas	34	(2)
Pancreatic Arteriovenous Malformation	36	(1)
Pancreatic Cysts	36	(7)
Spleen	43	(1)
Accessory Spleen	43	(1)
Wandering Spleen	43	(1)
Polysplenia Syndrome	44	(1)
Internal Hernias	44	(1)
Urogenital System	45	(6)
Urinary Tract	45	(5)
Genital System	50	(1)
References	51	(6)
Intraperitoneal Spread of Infections	57	(74)
Anatomic Considerations	57	(22)
The Posterior Peritoneal Attachments	57	(2)
Detailed Anatomy of the Right Upper Quadrant	59	(20)
Radiologic Features	79	(39)
The Spread and Localization of Intraperitoneal Abscesses	79	(39)
The Sectional and Isotopic Imaging Modalities	118	(6)
Management	124	(4)
References	128	(3)
Intraperitoneal Spread of Malignancies	131	(134)
Direct Invasion from Noncontiguous Primary Tumors	132	(50)
Invasion Along Mesenteric Reflections	132	(34)
Invasion by Lymphatic Permeation	166	(16)
Direct Invasion from Contiguous Primary Tumors	182	(10)
Intraperitoneal Seeding	192	(46)
Anatomic Features	192	(1)
Pathways of Ascitic Flow	193	(1)
Seeded Sites	193	(40)
Developments and Advances in Imaging	233	(5)
Embolic Metastases	238	(17)
Metastatic Melanoma	239	(4)
Breast Metastases	243	(2)
Bronchogenic Carcinoma	245	(1)
Renal Carcinoma	245	(10)
References	255	(10)
Staging of Gastrointestinal Cancers	265	(22)
Importance of Staging	265	(5)
Carcinoma of the Esophagus	265	(1)
Carcinoma of the Stomach	266	(3)
Colorectal Carcinoma	269	(1)
Delineation of Normal Mural Components by Sectional Imaging	270	(2)
T Staging	272	(11)
Stage	272	(3)
Stage	275	(1)
Stage	275	(1)
Stage	275	(8)
Lymph Node Metastases	283	(1)
References	284	(3)
Pathways of Lymph Node Metastases in Cancer of the Gastrointestinal and Hepatobiliary Tracts	287	(22)
Chusilp Charnsangavej
The Supramesocolic Compartment	287	(10)
Anatomic Consideration	287	(1)
Peritoneal Ligaments of the Liver	288	(1)
Peritoneal Ligaments of the Stomach	288	(1)
Lymphatic Drainage of the Liver and Pathways of Lymph Node Metastasis	289	(3)
Lymphatic Drainage of the Stomach and Pathways of Lymph Node Metastasis	292	(5)
The Inframesocolic Compartment	297	(10)
Anatomic Consideration	297	(3)
Lymphatic Drainage of the Colon and Pathways of Lymph Node Metastasis	300	(7)
References	307	(2)
Manifestations of Intraperitoneal Air	309	(24)
Kyunghee C. Cho
Stephen R. Baker
Detection of Intraperitoneal Air	309	(1)
Supine Abdominal Films	309	(1)
Supine Film Signs of Pneumoperitoneum	310	(20)
Depiction of Ligaments Protruding into the Peritoneal Cavity	310	(6)
Visualization of the Peritoneal Surface of Intraabdominal Organs	316	(3)
Detection of Free Air Confined in Specific Peritoneal Recesses	319	(7)
Recognition of Free Air Superimposed on the Liver	326	(4)
References	330	(3)
The Extraperitoneal Spaces: Normal and Pathologic Anatomy	333	(160)
Anatomic Considerations	334	(22)
The Three Extraperitoneal Compartments and Perirenal Fasciae	334	(19)
The Psoas Muscle	353	(2)
The Hepatic and Splenic Angles	355	(1)
Anterior Pararenal Space	356	(40)
Roentgen Anatomy of Distribution and Localization of Collections	356	(1)
Sources of Effusions	357	(39)
Compartmentalization of the Anterior Pararenal Space	396	(13)
Maarten S. van Leeuwen
Michiel A.M. Feldberg
Anatomic Considerations	396	(6)
Normal Imaging Features	402	(1)
Abnormal Imaging Features	402	(7)
Perirenal Space	409	(42)
Roentgen Anatomy of Distribution and Localization of Collections	409	(42)
Posterior Pararenal Space	451	(12)
Roentgen Anatomy of Distribution and Localization of Collections	451	(1)
Clinical Sources of Effusions	451	(12)
Diffuse Extraperitoneal Gas	463	(10)
Rectal Perforation	466	(1)
Sigmoid Perforation	466	(1)
Extraperitoneal Gas of Supradiaphragmatic Origin	467	(4)
Differential Diagnosis of Small Amounts of Supradiaphragmatic Gas	471	(2)
Psoas Abscess and Hematoma	473	(4)
The Extraperitoneal Paravesical Pelvic Spaces	477	(7)
Catherine Roy
Anatomic Considerations	477	(3)
Abnormal Imaging Features	480	(4)
References	484	(9)
The Renointestinal Relationships: Normal and Pathologic Anatomy	493	(46)
Anatomic Considerations	493	(3)
The Right Kidney	493	(1)
The Left Kidney	494	(2)
Radiologic Observations	496	(40)
Characteristic Mass Displacements	496	(8)
Ptosis and Rotation	504	(1)
Invasive Renal Cell Carcinoma	505	(1)
Perinephritis and Renointestinal Fistulas	505	(7)
Renal Agenesis and Ectopia	512	(20)
Direct Intestinal Effects Unique to Renal Ectopia	532	(4)
References	536	(3)
The Duodenocolic Relationships: Normal and Pathologic Anatomy	539	(26)
Anatomic and Normal Radiologic Features	539	(5)
Abnormal Radiologic Features	544	(19)
Defect of Mesocolon with Internal Herniation into Lesser Sac	544	(1)
Masses Within the Mesocolic Leaves	544	(2)
Effect upon the Descending Duodenum by Carcinoma of the Hepatic Flexure	546	(1)
Duodenocolic Fistulas	546	(3)
Effect of Gallbladder Disease on the Duodenocolic Relationships	549	(11)
Duodenocolic Displacements from Right Renal Masses	560	(1)
Effect on Colon of Mass Arising in Descending Duodenum	560	(1)
Inframesocolic Extension of Neoplasm of Third Duodenum	560	(1)
Acute Pancreatitis	561	(1)
Duodenojejunal Junction: Relation to Colon	561	(2)
References	563	(2)
Intestinal Effects of Pancreatitis: Spread Along Mesenteric Planes	565	(30)
Anatomic Considerations	565	(4)
Effects of Pancreatitis on the Colon: Spread Along the Transverse Mesocolon	569	(15)
Hepatic Flexure	569	(1)
Transverse Colon and Splenic Flexure	569	(15)
Effects of Pancreatitis on the Duodenum, Small Bowel, and Cecum: Spread Along Small Bowel Mesentery	584	(9)
Duodenum	584	(1)
Small Bowel and Cecum	584	(9)
References	593	(2)
Pathways of Regional Spread in Pancreatic Cancer	595	(12)
Chusilp Charnsangavej
Anatomy of the Pancreas	595	(3)
Vascular Anatomy	596	(1)
Lymphatic Anatomy	597	(1)
Pancreatic Nerve Plexus	598	(1)
Imaging Studies	598	(1)
CT Anatomy of the Pancreatic Head	598	(1)
Pathways of Regional Spread in Pancreatic Cancer	599	(6)
Local Organ Invasion	599	(2)
Vascular Involvement	601	(2)
Nodal Metastasis	603	(2)
Perineural Invasion	605	(1)
Conclusion	605	(1)
References	605	(2)
The Subperitoneal Space: Normal and Pathologic Anatomy	607	(28)
Michael Oliphant
Alfred S. Berne
Morton A. Meyers
Embryologic Considerations	607	(4)
Anatomic Considerations	611	(4)
Ventral Mesentery Derivatives	612	(1)
Dorsal Mesentery Derivatives	612	(2)
Lateral Continuity	614	(1)
Continuity with the Female Organs	614	(1)
Abnormal Imaging Features	615	(19)
References	634	(1)
The Small Bowel: Normal and Pathologic Anatomy	635	(30)
Anatomic Considerations	635	(1)
Normal Radiologic Observations	636	(8)
Axis of the Root of the Small Bowel Mesentery	636	(1)
Undulating Changeable Nature of Coils of Bowel Loops	636	(4)
Identification of Mesenteric and Antimesenteric Borders of Small Bowel Loops	640	(4)
Abnormal Radiologic Features	644	(19)
Diverticulosis of the Small Intestine	644	(2)
Meckel's Diverticulum	646	(1)
Scleroderma	646	(4)
Intestinal Duplication	650	(1)
Seeded Metastases	651	(1)
Hematogenous Metastases	651	(1)
Carcinoid Tumors	652	(2)
Regional Enteritis	654	(3)
Lymphoma	657	(1)
Intramural and Mesenteric Bleeding	657	(6)
References	663	(2)
The Colon: Normal and Pathologic Anatomy	665	(46)
Anatomic Considerations	667	(3)
Classification of Organization of Haustral Rows	669	(1)
Normal Radiologic Observations	670	(5)
Abnormal Radiologic Features	675	(29)
Lesions Within the Gastrocolic Ligament	675	(6)
Lesions Within the Transverse Mesocolon	681	(2)
Distinction Between Intraperitoneal and Extraperitoneal Processes	683	(9)
Diverticulosis and Diverticulitis	692	(12)
Summary	704	(4)
References	708	(3)
Internal Abdominal Hernias	711	(38)
Paraduodenal Hernias	712	(19)
Anatomic Considerations	712	(1)
Clinical Features	713	(1)
Radiologic and Arteriographic Features	713	(18)
Internal Hernias Through the Formen of Winslow	731	(6)
Pericecal Hernias	737	(1)
Intersigmoid Hernias	738	(1)
Transmesenteric and Transmesocolic Hernias	739	(5)
Hernias Through the Falciform Ligament	744	(1)
Retroanastomotic Hernias	744	(2)
References	746	(3)
Pathways of Extrapelvic Spread of Disease	749	(14)
Anatomic Considerations	751	(1)
Radiologic Findings	752	(9)
References	761	(2)
Index	763