Oliphant M, Berne A S, Meyers M A
Department of Medical Imaging, Crouse Irving Memorial Hospital, Syracuse, New York 13210.
Gastrointest Radiol. 1988 Oct;13(4):285-98. doi: 10.1007/BF01889084.
This report expands the concept of the subperitoneal space (SS) as the potential conduit for direct spread of disease in the abdomen to include the female pelvis. The normal anatomy of the SS in the lower abdomen, the female pelvis, and its uninterrupted continuation between the abdomen and pelvis are demonstrated by several imaging modalities. Surgically proven cases of bidirectional spread of disease between the abdomen and female pelvis are reported. The unifying concept of the interrelationship formed by the SS provides an understanding of the basic concepts of the pathways of direct spread of disease and the pathogenesis of the clinical presentation of disease distant from its site of origin.
本报告扩展了腹膜下间隙（SS）的概念，将其作为腹部疾病直接蔓延的潜在通道，涵盖女性盆腔。多种成像方式展示了下腹部、女性盆腔中SS的正常解剖结构及其在腹部和盆腔之间的连续不间断情况。报告了经手术证实的腹部与女性盆腔之间疾病双向蔓延的病例。SS形成的相互关系这一统一概念有助于理解疾病直接蔓延途径的基本概念以及远离起源部位的疾病临床表现的发病机制。
