Peritoneal reflections of left perihepatic region: radiologic-anatomic study.

Abstract:

:To clarify the anatomy of the peritoneal reflections of the left perihepatic region, the authors examined 95 cadavers. Thirty-eight were studied radiographically, 37 with sagittal dissection, and 20 with transverse dissection. In over 80% of the cadavers, the left triangular ligament of the liver separated the left suprahepatic space into anterior and posterior sections. The lesser omentum extended to the diaphragm, where its anterior layer reflected and continued as the posterior layer of the left triangular ligament. Thus, the posterior left suprahepatic space and the lesser sac were clearly separated by the lesser omentum and the stomach and over-lapped each other in three dimensions. The posterior left suprahepatic space was located anterosuperior to the lesser sac and in turn was continuous with the gastrohepatic space inferiorly. Carefully researched diagrams of both the midline sagittal and left parasagittal perihepatic spaces were developed. This information has clinical value when the radiologist is called on to drain a left perihepatic abscess.

journal_name

Radiology

journal_title

Radiology

authors

Min PQ,Yang ZG,Lei QF,Gao XH,Long WS,Jiang SM,Zhou DM

doi

10.1148/radiology.182.2.1732980

subject

Has Abstract

pub_date

1992-02-01 00:00:00

pages

553-7

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

182

pub_type

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