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The Extraperitoneal Spaces: Normal and Pathologic Anatomy

  • Morton A. Meyers

Abstract

The extraperitoneal portion of the abdomen has always been considered a difficult region in terms of anatomic definitions, clinical evaluation, and radiologic diagnosis. Anatomically, it has been vaguely considered as occupying the posterior half of the abdomen, without well-defined fascial boundaries. Clinically, it is commonly recognized that extraperitoneal effusions are difficult to diagnose. The area is not accessible to the bedside modalities of auscultation, palpation, or percussion. Symptoms and signs may be obscure, delayed, nonspecific, or misleading.

Keywords

Psoas Muscle Pararenal Space Transversalis Fascia Perirenal Space Renal Fascia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Altemeier WA, Alexander JW: Retroperitoneal abscess. Arch Surg 83:512–524, 1961PubMedCrossRefGoogle Scholar
  2. 2.
    Bacon RD: Respiratory pyelography: A study of renal motion in health and disease. Am J Roentgenol 44:71, 1940Google Scholar
  3. 3.
    Britt LG, Wolf RY: Postbulbar ulcer with retrocecal abscess: A case report. Arch Surg 92:98–100, 1966PubMedCrossRefGoogle Scholar
  4. 4.
    Congdon ED, Edson JN: The cone of renal fascia in the adult white male. Anat Rec 80:289–313, 1941CrossRefGoogle Scholar
  5. 5.
    Crabtree EG: Pararenal pseudo-hydronephrosis: With report of three cases. Trans Am Assoc Genitourinary Surg 28:9–40, 1935Google Scholar
  6. 6.
    Cullen TS: A new sign in ruptured extrauterine pregnancy. Am J Obstet 78:457, 1918Google Scholar
  7. 7.
    Elkin M, Cohen G: Diagnostic value of the psoas shadow. Clin Rad 13:210–217, 1962CrossRefGoogle Scholar
  8. 8.
    Engel WJ, Page IH: Hypertension due to renal compression resulting from subcapsular hematoma. J Urol 73:735–739, 1955PubMedGoogle Scholar
  9. 9.
    Evans JA, Meyers MA, Bosniak MA: Acute renal and perirenal infections. Semin Roentgenol 6:274–291, 1971CrossRefGoogle Scholar
  10. 10.
    Frank IN, Wieche DR: Nephrotomography appearance of spontaneous subcapsular hemorrhage. Radiology 89:477–482, 1967PubMedGoogle Scholar
  11. 11.
    Gerota D: Beiträge zur Kenntnis des Befestigungsapparates der Niere. Arch Anat Entwcklngsgesch 265–286, 1895Google Scholar
  12. 12.
    Ginzburg L, Oppenheimer GD: Urological complications of regional ileitis. J Urol 59:948–952, 1948PubMedGoogle Scholar
  13. 13.
    Hudson HG, Hundley RR: Pararenal pseudocyst. J Urol 97:439–443, 1967PubMedGoogle Scholar
  14. 14.
    Hurwitz SP, Weisenthal CL: Pararenal pseudocyst. J Urol 97:8–15, 1967PubMedGoogle Scholar
  15. 15.
    Johnson CM, Smith DR: Calcified perirenal pseudohydronephrosis: Hydronephrosis with communicating perirenal cyst with calcification. J Urol 45:152–164, 1941Google Scholar
  16. 16.
    Koehler PR, Talner LB, Friedenberg MJ, et al: Association of subcapsular hematomas with nonfunctioning kidney. Radiology 101:537–542, 1973Google Scholar
  17. 17.
    Mackenzie AR: Spontaneous subcapsular renal hematoma: Report of case misdiagnosed as acute appendicitis. J Urol 84:243–245, 1960PubMedGoogle Scholar
  18. 18.
    Marshall WH, Jr, Castellino RA: Hypertension produced by constricting capsular renal lesions (“Page” kidney). Radiology 101:561–565, 1971PubMedGoogle Scholar
  19. 19.
    Meyer HI: The reaction of retroperitoneal tissue to infection. Ann Surg 99:246–250, 1934PubMedCrossRefGoogle Scholar
  20. 20.
    Meyers MA: Diseases of the Adrenal Glands. Radiologic Diagnosis with Emphasis on the Use of Presacral Retroperitoneal Pneumography. CC Thomas, Springfield, Illinois, 1963, pp 11–15, 20Google Scholar
  21. 21.
    Meyers MA: Roentgen significance of the phrenicocolic ligament. Radiology 95:539–545, 1970PubMedGoogle Scholar
  22. 22.
    Meyers MA: The spread and localization of acute intraperitoneal effusions. Radiology 95:547–554, 1970PubMedGoogle Scholar
  23. 23.
    Meyers MA: Acute extraperitoneal infection. Semin Roentgenol 8:445–464, 1973PubMedCrossRefGoogle Scholar
  24. 24.
    Meyers MA: Radiologic features of the spread and localization of extraperitoneal gas and their relationship to its source: An anatomical approach. Radiology 111:17–26, 1974PubMedGoogle Scholar
  25. 25.
    Meyers MA: Uriniferous perirenal pseudocyst: New observations. Radiology 117:539–545, 1975PubMedGoogle Scholar
  26. 26.
    Meyers MA, Evans JA: Effects of pancreatitis on the small bowel and colon: Spread along mesenteric planes. Am J Roentgenol 119:151–165, 1973CrossRefGoogle Scholar
  27. 27.
    Meyers MA, Friedenberg RM, King MC, et al: The significance of the renal capsular arteries. Br J Radiol 40:949–956, 1967PubMedCrossRefGoogle Scholar
  28. 28.
    Meyers MA, Volberg F, Katzen B, et al: Haustral anatomy and pathology: a new look. I. Roentgen identification of normal patterns and relationships. Radiology 108:497–504, 1973PubMedGoogle Scholar
  29. 29.
    Meyers MA, Volberg F, Katzen B, et al: Haustral anatomy and pathology: a new look. II. Roentgen interpretation of pathological alterations. Radiology 108:505–512, 1973PubMedGoogle Scholar
  30. 30.
    Meyers MA, Whalen JP, Evans JA: Diagnosis of perirenal and subcapsular masses: Anatomic-radiologic correlation. Am J Roentgenol Rad Ther Nucl Med 121:523–538, 1974CrossRefGoogle Scholar
  31. 31.
    Meyers MA, Whalen JP, Peelle K, et al: Radiologic features of extraperitoneal effusions: an anatomic approach. Radiology 104:249–257, 1972PubMedGoogle Scholar
  32. 32.
    Mitchell GAG: The spread of retroperitoneal effusions arising in the renal regions. Br Med J 2:1134, 1939PubMedCrossRefGoogle Scholar
  33. 33.
    Mitchell GAG: The renal fascia. Br J Surg 37:257, 1950PubMedCrossRefGoogle Scholar
  34. 34.
    Nesbit RM, Dick VS: Pulmonary complications of acute renal and perirenal suppuration. Am J Roentgenol 44:161–169, 1940Google Scholar
  35. 35.
    Page IH: Production of persistent arterial hypertension by cellophane and perinephritis. JAMA 113:2046–2048, 1939CrossRefGoogle Scholar
  36. 36.
    Page IH: Periureteric fibrosis. Editorial. Lancet 2:780–781, 1957Google Scholar
  37. 37.
    Polkey HJ, Vynalek WJ: Spontaneous nontraumatic perirenal and renal hematomas: Experimental and clinical study. Arch Surg 26:196–218, 1933CrossRefGoogle Scholar
  38. 38.
    Pollack HJ, Popky G: Spontaneous subcapsular renal hemorrhage: its significance and roentgenographic diagnosis. J Urol 108:530–533, 1972PubMedGoogle Scholar
  39. 39.
    Pollack HM, Popky GL: Roentgen ographic manifestations of spontaneous renal hemorrhage. Radiology 110:1–6, 1974PubMedGoogle Scholar
  40. 40.
    Presman D, Rolnick D, Portney F: Spontaneous perinephric hematoma secondary to renal tumor. Am J Surg 102:586–593, 1961PubMedCrossRefGoogle Scholar
  41. 41.
    Pyrah LN, Smiddy FG: Pararenal pseudohydronephrosis: A report of two cases. Br J Urol 25:239–246, 1953PubMedCrossRefGoogle Scholar
  42. 42.
    Razzaboni G: Ricerche sperimentali sulla pseudoidronefrosi. Arch Ital Chir 6:365–372, 1922Google Scholar
  43. 43.
    Sauls CL, Nesbit RM: Pararenal pseudocysts: a report of four cases. J Urol 87:288–296, 1962PubMedGoogle Scholar
  44. 44.
    Skarby HG: Beiträge zur Diagnostik der Paranephritiden mit besonderer Berücksichtigung des Röntgenverfahrens. Acta Radiol Suppl 62:1–165, 1946Google Scholar
  45. 45.
    Sperling L, Rigler LG: Traumatic retroperitoneal rupture of duodenum: description of valuable roentgen observations in its recognition. Radiology 29:521–524, 1937Google Scholar
  46. 46.
    Stevenson EO, Ozeran RS: Retroperitoneal space abscesses. Surg Gynecol Obstet 128:1202–1208, 1969PubMedGoogle Scholar
  47. 47.
    Toxopeus MD, Lucas CE, Krabbenhoft KL: Roentgen ographic diagnosis in blunt retroperitoneal duodenal rupture. Am J Roentgenol 115:281–288, 1972CrossRefGoogle Scholar
  48. 48.
    Turner GG: Local discoloration of the abdominal wall as a sign of acute pancreatitis. Br J Surg 7:394–395, 1919CrossRefGoogle Scholar
  49. 49.
    Vermooten V: The mechanism of perinephric and perinephritic abscesses: A clinical and pathological study. J Urol 30:181–193, 1933Google Scholar
  50. 50.
    Watnick M, Spindala-Franco H, Abrams HL: Small hypernephroma with subcapsular hematoma and renal infarction. J Urol 108:534–536, 1972PubMedGoogle Scholar
  51. 51.
    Weintraub HD, Rail KL, Thompson IM, et al: Pararenal pseudocysts: Report of three cases. Am J Roentgenol 92:286–290, 1964Google Scholar
  52. 52.
    Welin S: Über die Röntgenodiagnostik der paranephritis. Fortschr Roentgenstr 67:162, 1943Google Scholar
  53. 53.
    Whalen JP, Berne AS, Riemenschneider PA: The extraperitoneal perivisceral fat pad. I. Its role in the roentgenological visualization of abdominal organs. Radiology 92:466–472, 1969PubMedGoogle Scholar
  54. 54.
    Wulsin, JH: Peptic ulcer of the posterior wall of the stomach and duodenum with retroperitoneal leak. Surg Gynec Obstet 134:425–429, 1972PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1976

Authors and Affiliations

  • Morton A. Meyers
    • 1
  1. 1.Cornell University Medical CollegeNew YorkUSA

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