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Pathways of abdominal tumour spread: the role of the subperitoneal space.

Gore RM, Newmark GM, Thakrar KH, Mehta UK, Berlin JW - Cancer Imaging (2009)

Bottom Line: This space is formed by the subserosal areolar tissue that lines the inner surfaces of the peritoneum and the musculature of the abdomen and pelvis.It contains the branches of the vascular, lymphatic, and nervous systems that supply the viscera.The subperitoneal space extends into the peritoneal cavity and is invested between the layers of the mesenteries and ligaments that support and interconnect the abdominal and pelvic organs.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, North Shore University Health System, University of Chicago, Evanston, IL 60201, USA. rgore@uchicago.edu

ABSTRACT
The subperitoneal space is a large, unifying, anatomically continuous potential space that connects the peritoneal cavity with the retroperitoneum. This space is formed by the subserosal areolar tissue that lines the inner surfaces of the peritoneum and the musculature of the abdomen and pelvis. It contains the branches of the vascular, lymphatic, and nervous systems that supply the viscera. The subperitoneal space extends into the peritoneal cavity and is invested between the layers of the mesenteries and ligaments that support and interconnect the abdominal and pelvic organs. As such, it provides one large continuous space in which infectious, neoplastic, inflammatory, and hemorrhagic disease may spread in many directions.

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Subperitoneal spaces. Frontal diagram of the posterior parietal wall of the upper abdomen shows the planes of peritoneal reflections that constitute the major ligaments and mesenteries of the subperitoneal space. Anatomic continuity between intraperitoneal structures and between extraperitoneal and intraperitoneal sites is established along the bare areas at the roots of origin of the supporting ligaments and mesenteries. FL, falciform ligament; RCL, right coronary ligament; BA, bare area of liver; HDL, hepatoduodenal ligament; LTL, left triangular ligament; GHL, gastrohepatic ligament; LS, lesser sac; GSL, gastrosplenic ligament; PL, phrenicocolic ligament; TM, transverse mesocolon; SBM, root of small bowel mesentery; DC, bare area of descending colon; AC, bare area of ascending colon. (From Meyers MA, Oliphant M, Berne AS, et al. The peritoneal ligaments and mesenteries: pathways of abdominal disease spread. Radiology 1987; 63: 594; with permission.)
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Figure 1: Subperitoneal spaces. Frontal diagram of the posterior parietal wall of the upper abdomen shows the planes of peritoneal reflections that constitute the major ligaments and mesenteries of the subperitoneal space. Anatomic continuity between intraperitoneal structures and between extraperitoneal and intraperitoneal sites is established along the bare areas at the roots of origin of the supporting ligaments and mesenteries. FL, falciform ligament; RCL, right coronary ligament; BA, bare area of liver; HDL, hepatoduodenal ligament; LTL, left triangular ligament; GHL, gastrohepatic ligament; LS, lesser sac; GSL, gastrosplenic ligament; PL, phrenicocolic ligament; TM, transverse mesocolon; SBM, root of small bowel mesentery; DC, bare area of descending colon; AC, bare area of ascending colon. (From Meyers MA, Oliphant M, Berne AS, et al. The peritoneal ligaments and mesenteries: pathways of abdominal disease spread. Radiology 1987; 63: 594; with permission.)

Mentions: The subperitoneal space is a large, unifying, anatomically continuous potential space that connects the peritoneal cavity with the retroperitoneum (Fig. 1). This space is formed by the subserosal areolar tissue that lines the inner surfaces of the peritoneum and the musculature of the abdomen and pelvis. It contains the branches of the vascular, lymphatic, and nervous systems that supply the viscera. The subperitoneal space extends into the peritoneal cavity and is invested between the layers of the mesenteries and ligaments that support and interconnect the abdominal and pelvic organs. As such, it provides one large continuous space in which infectious, neoplastic, inflammatory, and hemorrhagic disease may spread in many directions[2–4,68–13].Figure 1


Pathways of abdominal tumour spread: the role of the subperitoneal space.

Gore RM, Newmark GM, Thakrar KH, Mehta UK, Berlin JW - Cancer Imaging (2009)

Subperitoneal spaces. Frontal diagram of the posterior parietal wall of the upper abdomen shows the planes of peritoneal reflections that constitute the major ligaments and mesenteries of the subperitoneal space. Anatomic continuity between intraperitoneal structures and between extraperitoneal and intraperitoneal sites is established along the bare areas at the roots of origin of the supporting ligaments and mesenteries. FL, falciform ligament; RCL, right coronary ligament; BA, bare area of liver; HDL, hepatoduodenal ligament; LTL, left triangular ligament; GHL, gastrohepatic ligament; LS, lesser sac; GSL, gastrosplenic ligament; PL, phrenicocolic ligament; TM, transverse mesocolon; SBM, root of small bowel mesentery; DC, bare area of descending colon; AC, bare area of ascending colon. (From Meyers MA, Oliphant M, Berne AS, et al. The peritoneal ligaments and mesenteries: pathways of abdominal disease spread. Radiology 1987; 63: 594; with permission.)
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Related In: Results  -  Collection

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Figure 1: Subperitoneal spaces. Frontal diagram of the posterior parietal wall of the upper abdomen shows the planes of peritoneal reflections that constitute the major ligaments and mesenteries of the subperitoneal space. Anatomic continuity between intraperitoneal structures and between extraperitoneal and intraperitoneal sites is established along the bare areas at the roots of origin of the supporting ligaments and mesenteries. FL, falciform ligament; RCL, right coronary ligament; BA, bare area of liver; HDL, hepatoduodenal ligament; LTL, left triangular ligament; GHL, gastrohepatic ligament; LS, lesser sac; GSL, gastrosplenic ligament; PL, phrenicocolic ligament; TM, transverse mesocolon; SBM, root of small bowel mesentery; DC, bare area of descending colon; AC, bare area of ascending colon. (From Meyers MA, Oliphant M, Berne AS, et al. The peritoneal ligaments and mesenteries: pathways of abdominal disease spread. Radiology 1987; 63: 594; with permission.)
Mentions: The subperitoneal space is a large, unifying, anatomically continuous potential space that connects the peritoneal cavity with the retroperitoneum (Fig. 1). This space is formed by the subserosal areolar tissue that lines the inner surfaces of the peritoneum and the musculature of the abdomen and pelvis. It contains the branches of the vascular, lymphatic, and nervous systems that supply the viscera. The subperitoneal space extends into the peritoneal cavity and is invested between the layers of the mesenteries and ligaments that support and interconnect the abdominal and pelvic organs. As such, it provides one large continuous space in which infectious, neoplastic, inflammatory, and hemorrhagic disease may spread in many directions[2–4,68–13].Figure 1

Bottom Line: This space is formed by the subserosal areolar tissue that lines the inner surfaces of the peritoneum and the musculature of the abdomen and pelvis.It contains the branches of the vascular, lymphatic, and nervous systems that supply the viscera.The subperitoneal space extends into the peritoneal cavity and is invested between the layers of the mesenteries and ligaments that support and interconnect the abdominal and pelvic organs.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, North Shore University Health System, University of Chicago, Evanston, IL 60201, USA. rgore@uchicago.edu

ABSTRACT
The subperitoneal space is a large, unifying, anatomically continuous potential space that connects the peritoneal cavity with the retroperitoneum. This space is formed by the subserosal areolar tissue that lines the inner surfaces of the peritoneum and the musculature of the abdomen and pelvis. It contains the branches of the vascular, lymphatic, and nervous systems that supply the viscera. The subperitoneal space extends into the peritoneal cavity and is invested between the layers of the mesenteries and ligaments that support and interconnect the abdominal and pelvic organs. As such, it provides one large continuous space in which infectious, neoplastic, inflammatory, and hemorrhagic disease may spread in many directions.

Show MeSH
Related in: MedlinePlus