Skip to main content

Peritoneum and Pelvis

  • Chapter
  • First Online:
Classic Imaging Signs

Abstract

One of the major problems radiologists face in everyday practice is to decide the correct diagnosis, or at least narrow down the list of possible diagnoses. We have adapted to remember and recall information we can associate with our surroundings. The normal peritoneal structures include the mesenteries, the omenta, and pelvis. These structures become more visible and change in appearance when involved by pathological processes. The diagnosis of abdominal and pelvic maternal diseases also is challenging. In this chapter we discuss the various developmental and acquired diseases in the abdominopelvic and peritoneal cavities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Orwig D, Federle MP. Localized clotted blood as evidence of visceral trauma on CT: the sentinel clot sign. AJR Am J Roentgenol. 1989;153(4):747–9.

    Article  CAS  Google Scholar 

  2. Gudelj M, Giroul F, Dorthu L. Intraperitoneal bladder rupture revealed by the sentinel clot sign. J Belg Soc Radiol. 2018;102(1):33.

    Article  Google Scholar 

  3. Hahn PF, Saini S, Stark DD, Papanicolaou N, Ferrucci JT Jr. Intraabdominal hematoma: the concentric-ring sign in MR imaging. AJR Am J Roentgenol. 1987;148(1):115–9.

    Article  CAS  Google Scholar 

  4. Hahn PF, Stark DD, Vici LG, Ferrucci JT Jr. Duodenal hematoma: the ring sign in MR imaging. Radiology. 1986;159(2):379–82.

    Article  CAS  Google Scholar 

  5. Taguchi T, Inoue K, Terada Y. Concentric-ring sign in adrenal hemorrhage. Endocrine. 2014;47(3):965–6.

    Article  CAS  Google Scholar 

  6. Mehta N, Babu S, Venugopal K. An experience with blunt abdominal trauma: evaluation, management and outcome. Clin Pract. 2014;4(2):599.

    Article  Google Scholar 

  7. Taylor AJ, Dodds WJ, Erickson SJ, Stewart ET. CT of acquired abnormalities of the spleen. AJR Am J Roentgenol. 1991;157(6):1213–9.

    Article  CAS  Google Scholar 

  8. Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology. 2012;265(3):678–93.

    Article  Google Scholar 

  9. Boraschi P, Braccini G, Gigoni R, et al. Diagnosis of adrenal adenoma: value of central spot of high-intensity hyperintense rim sign and homogeneous isointensity to liver on gadolinium-enhanced fat-suppressed spin-echo MR images. J Magn Reson Imaging. 1999;9(2):304–10.

    Article  CAS  Google Scholar 

  10. Dinnes J, Bancos I, Ferrante di Ruffano L, et al. Management of endocrine disease: imaging for the diagnosis of malignancy in incidentally discovered adrenal masses: a systematic review and meta-analysis. Eur J Endocrinol. 2016;175(2):R51–64.

    Article  CAS  Google Scholar 

  11. Xu Y, Wang J, Peng Y, Zengb J. CT characteristics of primary retroperitoneal neoplasms in children. Eur J Radiol. 2010;75(3):321–8.

    Article  Google Scholar 

  12. Nishino M, Hayakawa K, Minami M, Yamamoto A, Ueda H, Takasu K. Primary retroperitoneal neoplasms: CT and MR imaging findings with anatomic and pathologic diagnostic clues. Radiographics. 2003;23(1):45–57.

    Article  Google Scholar 

  13. Scali EP, Chandler TM, Heffernan EJ, Coyle J, Harris AC, Chang SD. Primary retroperitoneal masses: what is the differential diagnosis? Abdom Imaging. 2015;40(6):1887–903.

    Article  Google Scholar 

  14. Hardy SM. The sandwich sign. Radiology. 2003;226(3):651–2.

    Article  Google Scholar 

  15. Theodorou SJ, Theodorou DJ, Briasoulis E, Kakitsubata Y. The “Sandwich sign” in mesenteric lymphoma. Intern Med. 2015;54(22):2953.

    Article  Google Scholar 

  16. Sozutek A, Colak T, Reyhan E, Turkmenoglu O, Akpınar E. Intra-abdominal gossypiboma revisited: various clinical presentations and treatments of this potential complication. Indian J Surg. 2015;77(suppl 3):1295–300.

    Article  Google Scholar 

  17. Lu YY, Cheung YC, Ko SF, Ng SH. Calcified reticulate rind sign: a characteristic feature of gossypiboma on computed tomography. World J Gastroenterol. 2005;11(31):4927–9.

    Article  Google Scholar 

  18. Ozgur T, Atik E, Silfeler DB, Toprak S. Mature cystic teratomas in our series with review of the literature and retrospective analysis. Arch Gynecol Obstet. 2012;285(4):1099–101.

    Article  Google Scholar 

  19. Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. Radiographics. 2001;21(2):475–90.

    Article  CAS  Google Scholar 

  20. Togashi K, Nishimura K, Kimura I, et al. Endometrial cysts: diagnosis with MR imaging. Radiology. 1991;180(1):73–8.

    Article  CAS  Google Scholar 

  21. Dias JL, Veloso Gomes F, Lucas R, Cunha TM. The shading sign: is it exclusive of endometriomas? Abdom Imaging. 2015;40(7):2566–72.

    Article  Google Scholar 

  22. Thalluri AL, Knox S, Nguyen T. MRI findings in deep infiltrating endometriosis: a pictorial essay. J Med Imaging Radiat Oncol. 2017;61(6):767–73.

    Article  Google Scholar 

  23. Devrim K, Musturay K, Deniz K, Deniz A, Mustafa O. MDCT of the ovarian vein: normal anatomy and pathology. AJR Am J Roentgenol. 2009;192(1):295–9.

    Article  Google Scholar 

  24. Yoshiki A, Kengo Y, Hitoshi A, Akihiro N, Daisuke K, Hiroyuki I, et al. MDCT of the gonadal veins in females with large pelvic masses: value in differentiating ovarian versus uterine origin. AJR Am J Roentgenol. 2006;186(2):440–8.

    Article  Google Scholar 

  25. Kim SH, Sim JS, Seong CK. Interface vessels on color/power Doppler US and MRI: a clue to differentiate subserosal uterine myomas from extrauterine tumors. J Comput Assist Tomogr. 2001;25(1):36–42.

    Article  CAS  Google Scholar 

  26. Kim JC, Kim SS, Park JY. Bridging vascular sign in the MR diagnosis of exophytic uterine leiomyoma. J Comput Assist Tomogr. 2000;24(1):57–60.

    Article  CAS  Google Scholar 

  27. Madan R. The bridging vascular sign. Radiology. 2006;238(1):371–2.

    Article  Google Scholar 

  28. Thorpe A, Neal D. Benign prostatic hyperplasia [published correction appears in Lancet 2003;362(9382):496]. Lancet. 2003;361(9366): 1359–67.

    Article  CAS  Google Scholar 

  29. Wang MQ, Duan F, Yuan K, Zhang GD, Yan J, Wang Y. Benign prostatic hyperplasia: cone-beam CT in conjunction with DSA for identifying prostatic arterial anatomy. Radiology. 2017;282(1):271–80.

    Article  Google Scholar 

  30. Johnson TS. The spur sign. Radiology. 2005;235(3):1023–4.

    Article  Google Scholar 

  31. Miller AN, Prasarn ML, Lorich DG, Helfet DL. The radiological evaluation of acetabular fractures in the elderly. J Bone Joint Surg Br. 2010;92(4):560–4.

    Article  CAS  Google Scholar 

Suggested Readings for this Chapter

  • Alapati S, Wadhwa V, Komarraju A, Guidry C, Pandey T. Magnetic resonance imaging of nonneoplastic musculoskeletal pathologies in the pelvis. Semin Ultrasound CT MR. 2017;38(3):291–308.

    Article  Google Scholar 

  • Arraiza M, Metser U, Vajpeyi R, et al. Primary cystic peritoneal masses and mimickers: spectrum of diseases with pathologic correlation. Abdom Imaging. 2015;40(4):875–906.

    Article  Google Scholar 

  • Dillman JR, Smith EA, Morani AC, Trout AT. Imaging of the pediatric peritoneum, mesentery and omentum. Pediatr Radiol. 2017;47(8):987–1000.

    Article  Google Scholar 

  • Gangadhar K, Mahajan A, Sable N, Bhargava P. Magnetic resonance imaging of pelvic masses: a compartmental approach. Semin Ultrasound CT MR. 2017;38(3):213–30.

    Article  Google Scholar 

  • Sandstrom CK, Gross JA, Linnau KF. Imaging of pelvic ring and acetabular trauma. Semin Roentgenol. 2016;51(3):256–67.

    Article  Google Scholar 

  • Skitch S, Engels PT. Acute management of the traumatically injured pelvis. Emerg Med Clin N Am. 2018;36(1):161–79.

    Article  Google Scholar 

  • Ssi-Yan-Kai G, Rivain AL, Trichot C, et al. What every radiologist should know about adnexal torsion. Emerg Radiol. 2018;25(1):51–9.

    Article  Google Scholar 

  • Tannus JF, Dagoglu G, Oto A. Magnetic resonance imaging of maternal diseases of the abdomen and pelvis in the pregnant patient. Am J Perinatol. 2008;25(10):605–10.

    Article  Google Scholar 

  • Wasnik AP, Maturen KE, Kaza RK, Al-Hawary MM, Francis IR. Primary and secondary disease of the peritoneum and mesentery: review of anatomy and imaging features. Abdom Imaging. 2015;40(3):626–42.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lei, P., Huang, B., Yu, H. (2021). Peritoneum and Pelvis. In: Gao, B., McKinney, A.M. (eds) Classic Imaging Signs. Springer, Cham. https://doi.org/10.1007/978-3-030-56348-6_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-56348-6_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-56347-9

  • Online ISBN: 978-3-030-56348-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics