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Abdominal fascial planes..
Dr/Ahmed Bahnassy
Consultant Radiologist
RMH
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High ways for pathology
InfectionFluidNeoplasm
Importance
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Level I
•Upper abdominal spaces
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Embryology
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Peritoneal folds related to the Spleen& Kidney:-
• Gastrosplenic ligament.
• Splenorenal (lienorenal) ligament:
connects the spleen to the posterior abdominal wall over the left kidney.
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Lesser Sac
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Is it important ?!
• Lesser sac fluid = neighboring pathology
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Perihepatic spaces
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Glisson capsule and sheath
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Cholecystitis
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Cullen sign
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Tumour spread
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Level II
•Retroperitoneum
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axial
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Retroperitoneum.Sagittal
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Relation to midline
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Inferior extensions
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Ilio-psoas spaces
• The iliopsoas compartment consists of the psoas major, psoas minor, and iliacus muscles.
• The psoas major muscle arises from the transverse processes of the 12th thoracic and lumbar vertebrae
• merges with the iliacus muscle at the level of the L5 through S2 vertebrae to form the iliopsoas muscle.
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Level III
•Pelvis & down .
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Pelvic spaces-sagittal
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Pelvic spaces coronal
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Perineal spaces
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Perineal spaces-relation to thigh
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•Now let’s apply
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Grey Turner sign
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• Follow pathology routes
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