CT Finding of Right Retroperitoneal Space: Analysis of Extension of Right Perirenal Hematoma
Journal of the Korean Radiological Society
; : 831-837, 1997.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-85649
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
To understand the structure and character of the right retroperitoneal space by analysis of the extension of retroperitoneal hematoma in patients with traumatic right renal injuries. MATERIALS ANDMETHODS:
We retrospectively reviewed CT scans of 13 patients with right retroperitoneal hematomas caused by right renal injury. At the renal level, we analyzed the relation of a hematoma contacting psoas muscle with other retroperitoneal compartmental hematomas. At the suprarenal level, a perirenal hematoma and a hematoma contacting the diaphragm were analyzed according to their relation with intrahepatic IVC and pericaval hematoma.RESULTS:
Below renal hilar level, all hematomas contacting psoas muscle, observed in eight cases, were connected with retrorenal extension of anterior pararenal hematoma. At the suprarenal level, intrahepatic pericaval hematomas were not, in all 13 cases, connected with a hematoma contacting the diaphragm, but with a perirenal hematoma. At the upper suprarenal level, the only pericaval hematomas containing a medial component of perirenal hematoma extended superiorly to the upper one third of the tenth thoracic vertebral body.CONCLUSION:
The anterior renal fascia envelops perirenal space except in its medial aspect. In the upper suprarenal region, the anterior and posterior planes of the anterior renal fascia unite to fuse with diaphragmatic fascia, but along the medial aspect they fuse with intrahepatic pericaval connective tissue and posteromedial diaphragm, respectively.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Espaço Retroperitoneal
/
Diafragma
/
Tomografia Computadorizada por Raios X
/
Estudos Retrospectivos
/
Músculos Psoas
/
Tecido Conjuntivo
/
Fáscia
/
Hematoma
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Radiological Society
Ano de publicação:
1997
Tipo de documento:
Artigo