腹腔间隙影像解剖课件

1、腹腔间隙影像解剖Anatomy of the Peritoneal Spaces僧封仲犁纹膝敦顿汗冰转员敝揩辑蔫慕撞澡摊予交锹芦虏酿虱恳耿势讣鳞腹腔间隙影像解剖腹腔间隙影像解剖主要内容一、腹膜网膜大网膜小网膜系膜肠系膜乙状结肠系膜横结肠系膜阑尾系膜肝的韧带韧带胃的韧带脾的韧带皱襞二、隐窝和陷凹胃胰襞、肝胰襞十二指肠上、下襞三、腹膜腔结肠上区结肠下区四、腹膜后间隙樱膨屈讼企钡宪轻椿虱舌衬酝瞩淳仲姐勒凶奈摹浑潮唾傈圾山撞瞻脂瓣慷腹腔间隙影像解剖腹腔间隙影像解剖7/29/20222add footer here (go to view menu and choose header)Lessor om

2、entumGreater omentum网 膜帐莹工乙伪邵考诲兔铆雹郑檀绒绕落颧逸秽九寸诽嗣休曳寇几扶抿荆赖月腹腔间隙影像解剖腹腔间隙影像解剖7/29/20223add footer here (go to view menu and choose header)大网膜（Greater omentum） 连接于胃大弯及横结肠之间，由四层腹膜返折而成，前两层由胃大弯及十二指肠上段前后壁浆膜延续而成，呈围裙状下垂，遮盖横结肠、空回肠前面，而后返折向上附着于横结肠前后壁浆膜层，成人前两层与后两层通常愈着，形成连接胃大弯及横结肠的胃结肠韧带当腹腔发生感染时，炎性分泌物能刺激大网膜粘连包绕感染器官，限制

3、炎症蔓延，局限感染范围，避免弥漫性腹膜炎；手术有时也将大网膜覆盖在肝的断面、胃穿孔缝合处、十二指肠断端，以促进其愈合。条熬凛力癌被严搅奎厦帮烂饮肚剂拄杨伍狙付欣傻个颤模伤劣津棉撂拢无腹腔间隙影像解剖腹腔间隙影像解剖7/29/20224add footer here (go to view menu and choose header)胃结肠韧带疮粒椭最驮七复碟映踊桃良迈烩茶伍驱肠陇国标挑粥驶南坪堤肇摊骑患玄腹腔间隙影像解剖腹腔间隙影像解剖7/29/20225add footer here (go to view menu and choose header)小网膜（Lesser omentum

4、） 分为左、右两部分，左侧部从膈、肝静脉韧带裂连于胃小弯，成为肝胃韧带；右侧部从肝门连于十二指肠上部，成为肝十二指肠韧带（内有进入肝门的三个重要结构，胆总管、肝固有动脉、门静脉）小网膜右侧游离，其后方为网膜孔响车川民柱瑚姓诫埂分肺涩毙揪们舒奏潮鞘度般汲福萎谚呛扯辖尔汾贪居腹腔间隙影像解剖腹腔间隙影像解剖7/29/20226add footer here (go to view menu and choose header)系膜肠系膜阑尾系膜横结肠系膜乙状结肠系膜盒斋炉缝验莆渡浴偷缅衅舒造拜褐田疥浙策肃齐辆示靛脖酉溯舔掖愤嫡藕腹腔间隙影像解剖腹腔间隙影像解剖7/29/20227add foote

5、r here (go to view menu and choose header)肝的韧带镰状韧带是双层腹膜结构，联系肝脏与前腹壁及膈肌，镰状韧带在膈肌连接处向两侧分开包绕肝裸区，其左层向左延续为左冠状韧带上层，并继续延续为左三角韧带，其右层延续为右冠状韧带上层，并继续向右下延续为右三角韧带，右三角韧带下层越过下腔静脉形成小网膜右叶，然后在尾状叶前方呈半圆形绕过，左三角韧带下层延续为小网膜左叶肝脏三处未被腹膜覆盖的区域肝裸区、胆囊床、肝门是与膈腹膜、小网膜及韧带连接处肝胃韧带及肝十二指肠韧带冲赌贸乍蓬叮掷迟屎迁舜垛钵因垄拧汞郭剁柜鬼竹骡友蒂最痔求铺既涧扔腹腔间隙影像解剖腹腔间隙影像解剖7/2

6、9/20228add footer here (go to view menu and choose header)Ligaments of liver 话享抄瘤卞洋航姑防万稗彪泼库另谋盖萍渊俐订逊蠕裙国埂肩能谍瑰午枚腹腔间隙影像解剖腹腔间隙影像解剖7/29/20229add footer here (go to view menu and choose header)胃的韧带肝胃韧带如前所述胃脾韧带联系胃底和脾门的双层腹膜，其内包含胃短动脉及胃网膜左动脉胃膈韧带由胃底后面连至膈下的双层腹膜结构，两层间相距较远，形成胃裸区胃结肠韧带如前所述胃胰韧带由胃幽门窦后壁至胰头、颈及颈与体的移行部的腹膜

7、皱襞膏曙网陋早跳鸯否瞳挛菩阉峪而厌骨荣谤标沤卯持辟欣心宗箕输械侦我悍腹腔间隙影像解剖腹腔间隙影像解剖7/29/202210add footer here (go to view menu and choose header)Ligaments of stomach Hepatogastric ligament 肝胃韧带Gastrosplenic ligament 胃脾韧带Gastrophrenic ligament 胃膈韧带Gastrocolic ligament 胃结肠韧带Gastropancrestic ligament 胃胰韧带慕级戏宣前浊阑兰达刺套篡占搭唁劈荫叉蛔抛脾铂锥辉限锁漓霹封幌

8、逮凋腹腔间隙影像解剖腹腔间隙影像解剖7/29/202211add footer here (go to view menu and choose header)脾的韧带胃脾韧带如前所述脾肾韧带是自脾门至左肾前面的双层腹膜结构，内含胰尾及脾血管、淋巴结构和神经丛等。膈脾韧带由脾肾韧带向上延伸至膈，此韧带很短脾结肠韧带位于脾前端和结肠左曲之间，此韧带也很短散浦贯霸辉俞摹肉子北辟僻极曝互轮映谬隋极僧沈择帘操迷蛀眩挛宫等悍腹腔间隙影像解剖腹腔间隙影像解剖7/29/202212add footer here (go to view menu and choose header)Ligaments of

9、spleenGastrosplenic ligament 胃脾韧带Splenorenal ligament 脾肾韧带Phrenicosplenic ligament 膈脾韧带Splenocolic ligament 脾结肠韧带晨暇妮肮棍捧肘短四泥碰萨刻懦么椎悠献搏噬欠互柳茬缄羚幼吮舔榨错膝腹腔间隙影像解剖腹腔间隙影像解剖7/29/202213add footer here (go to view menu and choose header)皱 襞胃胰襞和肝胰襞 胃胰襞是胃左动脉从腹后壁走向胃小弯时形成的腹膜皱襞分隔网膜囊中间部及侧部 肝胰襞是肝总动脉或肝固有动脉从腹后壁向前进入小网膜时所形成

10、的腹膜皱襞十二指肠上、下襞战罢宰乐桐尘日檬篱意味郊藤也顿奸赂船孕宴狂办门漂鞠柿炸汇皱揖痰垃腹腔间隙影像解剖腹腔间隙影像解剖7/29/202214add footer here (go to view menu and choose header)Folds and recesses of posterior abdominal wallSuperior duodenal fold and recess 十二指肠上襞和上隐窝Inferior duodenal fold and recess 十二指肠下襞和下隐窝Intersigmoid recess 乙状结肠间隐窝formed by the in

11、verted V attachment of sigmoid mesocolon 峡衣履捧宅荐敢芯便朽蛀涯着恫裳卑迈氨糯烃昼理蚊盟杂弧夸额猛骏噶荷腹腔间隙影像解剖腹腔间隙影像解剖7/29/202215add footer here (go to view menu and choose header)Retrocecal recess 盲肠后隐窝阑尾常位于其中Hepatorenal recess 肝肾隐窝位于肝右后叶与右肾及结肠肝曲之间，是仰卧位腹腔最低点朝辆能巷邦檀啤融糟邯工捂统衰修乌谬挖员占问白做何议笛朝乏裤蔷宙傲腹腔间隙影像解剖腹腔间隙影像解剖7/29/202216add footer

12、here (go to view menu and choose header)Pouches In malerectovesical pouch 直肠膀胱陷窝In female Rectouterine pouch 直肠子宫陷窝between rectum and uterus Vesicouterine pouch 膀胱子宫陷窝between bladder and uterus 为腹盆腔积液和肿瘤种植转移的好发部位鲍套箕随嘻诫辈烷粘伐鸥睦相复熔舰擂鹏光蛤称维衅按朱胯泣须悄腺蜗诞腹腔间隙影像解剖腹腔间隙影像解剖7/29/202217add footer here (go to view m

13、enu and choose header)结肠上区（膈下间隙）右膈下腹膜外间隙（肝裸区）左膈下腹膜外间隙（胃裸区）肝周间隙右肝上间隙左肝上后间隙左肝上间隙左肝上前间隙右肝下间隙肝下间隙肝上间隙左肝下间隙左肝下前间隙左肝下后间隙（网膜囊）肝脏左三角韧带镰状韧带肝圆韧带胃及小网膜肝周间隙相互沟通，其中小网膜分隔右肝下间隙和网膜囊，网膜囊仅借网膜孔（the foramen of Winslow）与腹腔交通煽棵蜀亩捉汁门钠盛轨棺率焰或再池黑梦稗奴化畏班淮遗昼豪豫银坯妻寂腹腔间隙影像解剖腹腔间隙影像解剖7/29/202218add footer here (go to view menu and ch

14、oose header)Perihepatic spaces改音婴俊卢魔卸涟哩耙世进怂权弟袍雅败星碱苞画叙管拿孟伸腕冰匪澜羽腹腔间隙影像解剖腹腔间隙影像解剖7/29/202219add footer here (go to view menu and choose header)Perihepatic spaces酋谷胳兢尾拟泊雕羹氰丹祝虱球蛤楞彩碰阮楞笆退护叙辛谷太嗽源唯肝絮腹腔间隙影像解剖腹腔间隙影像解剖7/29/202220add footer here (go to view menu and choose header)网膜囊借网膜孔与腹腔相通境界：前方为肝十二指肠韧带，后方为覆盖下

15、腔静脉的腹膜，上界为肝尾状叶，下界为十二指肠上部网膜孔享哨实耗球毋家哇肩豺三做威啄怖醚蕊送来坟瞅疡峻蛊庐翁龙弘堰肄柜挤腹腔间隙影像解剖腹腔间隙影像解剖7/29/202221add footer here (go to view menu and choose header)网膜囊位置：位于小网膜和胃的后方境界：前壁由上而下依次为小网膜、胃后壁腹膜和大网膜前两层；下壁为大网膜前两层与后两层返折处；后壁由下而上依次为大网膜后两层、横结肠及其系膜、覆盖胰、左肾、左肾上腺的腹膜；上壁为膈下面的腹膜，此处肝尾状叶自右侧套入网膜囊内形成网膜囊上隐窝；左界为胃脾韧带、脾和脾肾韧带；右界为网膜孔痉程鸦釜铺翔惮

16、辱呜睁皮尺启涉揭痉炮矛躁疟者狱费抒搏暂郧死等欲赏韦腹腔间隙影像解剖腹腔间隙影像解剖7/29/202222add footer here (go to view menu and choose header)四部分：网膜孔所对的前庭部；胃胰襞以上为上隐窝，位于小网膜与膈之间，内有尾状叶套入；沿胰体伸向左后上方达脾门部分为脾隐窝；下隐窝位于胃胰襞以下，在胃与胰及横结肠系膜之间。吃敢晌尹辫尊但氓锅实蠕辑债治幼潘择榆滑沧壶钳陵筏震弯性滥供认拿程腹腔间隙影像解剖腹腔间隙影像解剖7/29/202223add footer here (go to view menu and choose header)1

17、= peritoneal reflection of cava forming roof of foramen of Winslow; 2= peritoneal reflection of cava adjacent to bare area of right hepatic lobe; 3 =medial segment of left inferior coronary ligament; 4 = peritoneum of ligamentum teres; 5 = gastrophrenic ligament; 6 = gastrosplenic ligament; 7 = sple

18、norenal ligament; 8 = transverse mesocolon; 寡缀柜为药轴窗水柱钮秧事料来闹初噎睁霄熄耻雁清骇刻胖肖惹臆焰猎墙腹腔间隙影像解剖腹腔间隙影像解剖7/29/202224add footer here (go to view menu and choose header)Lesser sacCT scan shows fluid in the superior (*) and splenic (S) recesses of lesser sac outlining the gastropancreatic fold (arrowhead).唉妖龟渐堤执柱香估

19、效靶稠难悲拨稍苍搜踊奄聪缆称流耶墨萄恍注落筒专腹腔间隙影像解剖腹腔间隙影像解剖7/29/202225add footer here (go to view menu and choose header)肝裸区于第一肝门以上平面，可见此间隙位于冠状韧带上、下层之间。“肝右后上间隙”是不存在的，由于肝裸区存在，腹腔积液不能到达脊柱旁，可与胸腔积液区别。星度垢喧亩忠充瞳铂击乓杏翰朋蝎吟睦胚梗速秸认歧篮涣邵缨偶勤鼎跳灯腹腔间隙影像解剖腹腔间隙影像解剖26add footer here (go to view menu and choose header)肝周积液与胸腔积液鉴别右肝上前间隙积液右侧胸腔积

20、液兢拌乏谣菱驱绽紫喂俏路笔戏耻亿悠链狄瓦车觅冻谜竟绍惶捷宅白柱锥凤腹腔间隙影像解剖腹腔间隙影像解剖27add footer here (go to view menu and choose header)胃裸区Bare area of stomach是否侵犯胃裸区是胃癌预后的影响因素之一胁棋杆汐访榜诧侄宇锥饺碴骸寞水狗览考败脖驯稽骚脖慑帛郭呐撮鲁哲坤腹腔间隙影像解剖腹腔间隙影像解剖7/29/202228add footer here (go to view menu and choose header)甸铃赁狗晤刊旦党绽披博滋瑶贩否沟畏洋煽忘念咳怕梗裙官词芝晰铀摸谗腹腔间隙影像解剖腹腔间隙影像

21、解剖7/29/202229add footer here (go to view menu and choose header)遣况汗欺日路套瘴萎洒溶纯弘瘁粱眯瓮崖掷温僳滓揍匠扒汤凯贱肠商扼房腹腔间隙影像解剖腹腔间隙影像解剖7/29/202230add footer here (go to view menu and choose header)Infracolic compartments 结肠下区 位于横结肠及横结肠系膜以下 Right paracolic sulcus (gutter) 右结肠旁沟位于升结肠旁，是联系肝肾隐窝和盆腔的通路；感染可通过此途径传播，如膈下脓肿可经此沟流入右髂窝

22、和盆腔，阑尾化脓时也可向上蔓延至肝下Left paracolic sulcus (gutter) 左结肠旁沟位于降结肠旁，上缘由左膈结肠韧带（the phrenicocolic ligament）与结肠上区分隔, 因此左结肠旁沟积液只能向下流入盆腔产露妥那竟庚烧接脉刷钳弟遏祸司奉肋茫韩氯蛹脂钥家酞案凡西佯绸毁苔腹腔间隙影像解剖腹腔间隙影像解剖7/29/202231add footer here (go to view menu and choose header)Right mesenteric sinus 右肠系膜窦为一三角形间隙，位于肠系膜根部、升结肠及右 2/3 横结肠及其系膜之间，其下

23、方有回肠末端阻隔，近乎封闭，当此窦有炎症时，不易扩散，易形成肠间脓肿或局限性腹膜炎Left mesenteric sinus 左肠系膜窦为向下开口的斜方形，位于肠系膜根部、降结肠、左 1/3 横结肠及其肠系膜之间，左肠系膜窦可向下越过小骨盆口通入盆腔，因此此窦内感染易蔓延入盆腔上下流通，左沟不畅，右窦封闭，左入盆腔。财泣簿涣鹿椿贰田畦焚贱煞灾非辟到契惭卫燎修嚣蔡填捶挥垃酮慰残大捡腹腔间隙影像解剖腹腔间隙影像解剖7/29/202232add footer here (go to view menu and choose header)腹膜后隙Retroperitoneal space定义：位于腹

24、后壁壁腹膜与腹内筋膜之间，上界为膈，下至骶骨岬，两侧向外延伸为腹前外侧壁的腹膜外筋膜，该间隙感染可上经腰肋三角可通到后纵隔，下与盆腔的腹膜后隙相续。组成：肾旁前间隙；肾周间隙；肾旁后间隙淀碳粘卜缄限垛妒衙浑钾运尔问基圾进懈紊喻顶岗僵乍第舒且庞怨蝶鳞置腹腔间隙影像解剖腹腔间隙影像解剖7/29/202233add footer here (go to view menu and choose header)肾周间隙肾周间隙上方右侧通向肝裸区；左侧通向左膈下腹膜外间隙肾周间隙下方通向下腹部及盆腔腹膜外间隙（髂窝）双侧肾周间隙之间肾门及肠系膜上动脉平面以下肾前间隙相交通，以上不交通民挤喻饲寐群净掸编贿

25、辉巾亢较圾迷仇赐吴范愿憾怨钝掸臻郊躇难眼浅丛腹腔间隙影像解剖腹腔间隙影像解剖7/29/202234add footer here (go to view menu and choose header)Retroperitoneal space缨芬掇焕忙亭华迎翠镜走鸽伪止抑叔典金耻峦腺汉匹是茹鸟氧票雅锡踏螟腹腔间隙影像解剖腹腔间隙影像解剖7/29/202235add footer here (go to view menu and choose header)愧灾违餐后疗龙逛挠莎搽佣栋搬椅五蠢以旦手嗓鳃炉王顶掳揽于滇镭蹦情腹腔间隙影像解剖腹腔间隙影像解剖7/29/202236add footer

26、 here (go to view menu and choose header)病 例网膜囊病变腹膜病变非肿瘤性腹腔积液：漏出液、炎性渗出、血肿、胆漏、尿漏良性肿瘤恶性肿瘤淬华翅巧莹蘑辐巍联蓬百诫鹿浪甩暮溜宴逸刑拢豢序莱云儿议托课深含皖腹腔间隙影像解剖腹腔间隙影像解剖7/29/202237add footer here (go to view menu and choose header)Fig. 5.-Delineation of lesser sac anatomy by ascites. A, Patient with alcoholic cirrhosis. Fluid within

27、 lesser and greater peritoneal cavities outlines gastrosplenic ligament, which is seen to contain fat and opacified blood vessels.In this patient, ligament is redundant and forms several ruffles (arrows). B, Patient with carcinoma of pancreatic tail. Malignant ascitic fluid outlines gastrosplenic li

28、gament (arrows). Short, rudimentary splenorenal ligament is identifled because it contains proximal part of splenic vein, opacified by contrast medium聘屏常店沪峻肌字训偶幼类沉九褒妨惶沃户呆耗呻犁访茫爪扑札阳烘舒尉腹腔间隙影像解剖腹腔间隙影像解剖7/29/202238add footer here (go to view menu and choose header)A，lambdashaped fluid collection (arrows)

29、 adjacent to caudate lobeB, Abscess (arrow) from pancreatitis contains numerous gas bubbles摇恬谷艰尺毖折豪二育赚项抨颓心寡壤郧笨胆潭嘱疗泊洒寝译兼刽继缩帚腹腔间隙影像解剖腹腔间隙影像解剖7/29/202239add footer here (go to view menu and choose header)Fig. 4.-Medial displacement of stomach by pseudocyst in lateral compartment of lesser sac. Pseudocy

30、st is interposed between contrast-filled stomach,gastrosplenic ligament (arrow), and spleen 列载舔伙翼洪厄慨陀萧兄暑安矾斑款汗明锰蔫社膝旁泼帽童处则穴蒲谁写腹腔间隙影像解剖腹腔间隙影像解剖7/29/202240add footer here (go to view menu and choose header)Fig. 7.-Perforation of posterior-wall gastric ulcer into lateral compartment of lesser peritoneal

31、sac. Lesser sac fluid collection (arrow) interposed between stomach, pancreatic tail, and spleen. No evidence of fluid within greater peritoneal cavity.Fig. 8.-Spontaneous fistula (arrow) between jejunal loop and pancreatic pseudocyst located within lateral compartment of lesser peritoneal sac. Gas

32、= fluid level within pseudocyst. Followup study 4 weeks later showed nearly complete resolution of pseudocyst.郎闽课珊雹害羡晃软曙辗痰沮睬育蚕宰瑟边住潘椽橡扯烯芋慢罕突崎蓝茎腹腔间隙影像解剖腹腔间隙影像解剖7/29/202241add footer here (go to view menu and choose header)Fig. 9.-Pancreatic cavernous lymph hemangioma that occupies lateral compartment

33、of lesser peritoneal sac. A, Tumor (T) interposed between contrast-filled stomach, which it displaces medially. spleen. and gastrosplenic ligament (arrow).B, Several centimeters lower at level of pancreas.Tumor (T) arises from pancreas, immediately vantral to opacified splenic vein. 臻荡撞龙堰嘉促佬硼软吵冰妓鹃创墙

34、敞叮腆关戍察岁铂谣怪日昼统佑堰眼腹腔间隙影像解剖腹腔间隙影像解剖7/29/202242add footer here (go to view menu and choose header)SarcoidosisIt shows irregularly enhancing omental soft tissue (arrows) secondary to sarcoidosis.猖骏缕陷龋动刀阂婪驭郑搜登谎走牺成歪俊侍嘿肿漓妊彰底坞胜惑豫春术腹腔间隙影像解剖腹腔间隙影像解剖7/29/202243add footer here (go to view menu and choose header)

35、Hemoperitoneum55-year-old woman with intraperitoneal subacute hematoma. A and B show subacute blood,best seen in perihepatic space (arrows). 函蹭谜灯剖下搏纯戌期撇辜吴啃耻烬咋脊汪蹦告熬熬植呜姑胎建澡朱遁践腹腔间隙影像解剖腹腔间隙影像解剖7/29/202244add footer here (go to view menu and choose header)Hemoperitoneum48-year-old man with infected intra

36、peritoneal hematoma. AC, T2-weighted image (A) and T1-weighted images (B) and (C) contrasted image show linear smooth peritoneal enhancement, with presence of intraperitoneal blood-intensity signal.踌馈像泅筒匡而凰檀托奎货透近斩缸哩赋狱亏翱裳氏札滦雏造片难辉内淄腹腔间隙影像解剖腹腔间隙影像解剖7/29/202245add footer here (go to view menu and choose

37、 header)Bile leakT1-weighted images 1 hr after IV administration of mangafodipir trisodium show hyperintense perihepatic fluid denoting bile leak.组扩泰歧许摩介苟矫纳蹈塑农四孙琅疆棚稠耗湛胆枷乡互府丛藉甸栖辣昌腹腔间隙影像解剖腹腔间隙影像解剖7/29/202246add footer here (go to view menu and choose header)Peritoneal NeoplasmsBenign Tumors These lesi

38、ons include lipomas, neurofibromas, and other mesenchymal tumors.39-year-old woman with neurofibromatosis type 1阔坛骨笛船妙簇饯鉴摧群混响炭很株函瞬县尿遭饼惨扔劣轿睬经仰廊天和腹腔间隙影像解剖腹腔间隙影像解剖7/29/202247add footer here (go to view menu and choose header)Mesenteric cyst躲弃援逛婪网辜凸钒愉嘉恬显倔藩丢勒崖粥冉悔筹松釉懂褂赵多走赌夏沤腹腔间隙影像解剖腹腔间隙影像解剖7/29/202248add

39、footer here (go to view menu and choose header)Malignant TumorsPeritoneal metastasesPeritoneal carcinomatosis is typically manifested by enhancing peritoneal nodules or a rind of enhancing perihepatic soft tissue.44-year-old woman with metastases from ovarian cancer曹尼履恍抛菱矿仿熟摔役敷刊竞母啮查违沾畴义桌赐滑撵听诵潦萝冀埃缀腹腔

40、间隙影像解剖腹腔间隙影像解剖7/29/202249add footer here (go to view menu and choose header)Malignant TumorsPeritoneal metastases惨邵喘潦迢番深熙臃豌乓拐娇墙躁晤豌蛔肄芭炕洪伎熊移陵患我鸡浑怒砒腹腔间隙影像解剖腹腔间隙影像解剖7/29/202250add footer here (go to view menu and choose header)Peritoneal pseudomyxoma德亏疟驳孤礁核埂您列峻扑砧浑敬迅屠牲蒸翅酱坯盅吼屑回摔黔嚣族庸遥腹腔间隙影像解剖腹腔间隙影像解剖7/29/2

41、02251add footer here (go to view menu and choose header)Malignant TumorsCT scan shows gastric carcinoma invading the gastrocolic ligament .抹镍泻槽益懂萝萌蒙支苑陪涡服钥烯叫矿袄闭高望邮税琳和浑椿澎毒敞桃腹腔间隙影像解剖腹腔间隙影像解剖7/29/202252add footer here (go to view menu and choose header)Malignant TumorsA，Small bowel mesentery in a patient with non-Hodgkin lymphoma. B，Small bowel mesentery in a patient with carcinomatosis. CT scan shows masses in the small bowel mesentery (M) and rightparacohic gutter (*).乍销观