ct of the abdomen

8/18/2019 Ct of the Abdomen

1/19

CT of the Abdomen

20

Chapter

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2/19

CT OF THE ABDOMEN: AXIAL 487

AXIAL

Figure 20.1.1

Figure 20.1.2

Left portal v(p II)

Left hepatic v

Left portal v(p III)

Liver, left lateralsuperiorsubsegment(segment II)

Stomach

Spleen

Left lung

Ligamentumvenosum,fissure

Liver caudatelobe (segment I)

Left portal v,

umbilicalportion

Liver, leftlateral inferior

subsegment(segment III)

Lefthepatic a

Liver, leftmedial superior

subsegment(segment IVa)

Right anteriorsuperior

subsegment(segment VIII)

Liver, rightportal v(p VIII)

Middlehepatic v

Inferior venacava

Right posteriorsuperior

subsegment(segment VII)

Righthepatic v

Right crus ofdiaphragm

Rightadrenalgland

Rightlung

Rightportal v(p VII)

Aorta

Aorta

Costalcartilage

Stomach

Spleen

Serratusanterior m

Latissimusdorsi m

EsophagusRectus

abdominis mLeft

hepatic v

Inferiorvena cava

Middlehepatic v

Rib

Right lung

Iliocostalis m

Righthepatic v

Heart

Multifidus mLongissimusdorsi m

Left lungIntercostalvessels

arteryarteries

veinveins

musclemuscles

tendontendons

nervenerves

ligamentligaments

aaa

vvvmmmtttnnnligligs

==

==========



3/19

488 CT OF THE ABDOMEN: AXIAL

Figure 20.1.3

Figure 20.1.4

Stomach

Splenic v

Leftadrenal v

Left adrenalgland

Spleen

Origin ofceliac trunk

Ligamentum

teres, fissure

Right

hepatic a

Left

hepatic a

Left gastric vand

gastrohepatic lig

Rightportal v,

bifurcation

Right portal v,posterior branch

Right portal v,anterior branch

Middlehepatic v

Inferiorvena cava

Main portal v

Right hepatic v


Rightadrenalgland

Rightkidney,superior

pole

Aorta Leftkidney,superior

pole

Lefthepatic a

Stomach

Spleen

Ligamentumvenosum,fissure

Ligamentumteres, fissure

Liver, leftlateral inferiorsubsegment(segment III)

Lefthepatic v

Portal v,bifurcation

Liver, leftmedial

segment(segment IV)

Right portal v

Right portal v(p VIII)

Middle hepatic v

Inferior vena cava

Liver, rightposteriorsuperior


Right hepatic v

Caudatelobe(segment I)

Crus ofdiaphragmRightadrenalgland

Aorta Leftadrenalgland



4/19


Figure 20.1.5


Splenic v

Spleen

Left kidney,superior pole

Intercostal mm

Splenic v

Commonhepatic a

Lineaalba

Rectusabdominis

mCeliactrunk Stomach

Ligamentumteres, fissure

Externaloblique m

Right portal v,posterior

branch

Right kidney,superior pole

Right portal v,

anterior branch

Portacavalspace

Main portal v

Inferior venacava

Right hepatic v

Multifidusm

Longissimusdorsi m

Iliocostalism

Rightadrenalgland

Leftadrenalgland

Figure 20.1.6

Splenic v

Stomachfundus

Superiormesenteric a

Pancreas

neck

Common

bile duct

Liver, leftlateral segment

Portal v

Stomach

body Spleen

FalciformligamentDuodenum

Portal v(p VI)

Portal v(p V)

Gallbladder

Inferior venacava

Right hepatic v,branch

Lumbar vRight crus ofdiaphragm

Rightkidney

Leftkidney

Aorta



5/19


Figure 20.1.7

Figure 20.1.8

Small bowel, jejunum

Colon,splenic flexure

Spleen

Internaloblique m

Externaloblique m

Stomach

antrum

Superiormesenteric

aStomach

body

Transversusabdominis

m

Rectusabdominis

m

Superiormesenteric

v

Right kidney

Colon,hepatic flexure

Gallbladder

Pancreas,head

Duodenum,second portion

Inferiorvena cava

Rightrenal v

Leftrenal v

Leftkidney

Aorta Lumbar v

Pancreas tail

Left renal a

Left kidney

Left renal v

Splenic v

Spleen


Duodenumbulb

Liver, left lateralinferior

subsegment(segment III)

Splenoportal confluence

Pancreasbody Stomach

Mainpancreatic

duct

Liver, rightposterior inferior

subsegment(segment V)

Liver, rightanterior inferior


Gallbladder

Liver, leftmedial inferior

subsegment(segment IVb)


Inferiorvena cava


Right kidney,renal pelvis

Right kidney,renal cortex

Right kidney,renal medulla

Quadratuslumborum m

Aorta



6/19


Figure 20.1.10

Latissimusdorsi m

Left kidney,

inferior pole

Descendingcolon


Left gonadal v

Stomach

Mesentery andmesenteric

vessels

Duodenum,

third portion

Right kidney,inferior pole

Ascendingcolon

Transversecolon

Small bowel,ileum

Liver

Inferior venacava

Psoas mIliocostalisand

longissimusdorsi mm

Superiorlumbartriangle

Rightgonadal v

Quadratuslumborum m

Aorta

Figure 20.1.9

Left kidney

Left renal v

Spleen

Jejunum

Colon,splenic

flexure

Stomachantrum

Superiormesenteric

vStomach

body

Superiormesenteric

aGastrocolic

trunk

Liver, lateral segment

Inferior venacava

Hepatic flexure

Gallbladderfundus

Pancreas,uncinateprocess


Psoas mRight kidney,renal pelvis

Leftgonadal v

Quadratuslumborum m

Aorta



7/19

Figure 20.1.12

Internaloblique m


Descendingcolon

Transversusabdominis m

Inferiormesenteric a

Rectusabdominis m

Externaloblique m

Small bowel,mesentery

Left common iliac a Left gonadal v

Psoas m

Iliac crest

Right commoniliac a

Small bowel,ileum

Right gonadal v

Inferiorlumbar triangle

Ascending colon

Leftcommon

iliac v

Iliocostalis andlongissimus

dorsi mm

Rightcommon

iliac v

Quadratuslumborum m

Multifidus m

Figure 20.1.11

Latissimusdorsi m

Small bowelmesentery andmesentericvessels

Descendingcolon


Umbilicus Inferior mesenteric a

Right gonadal v

Transversecolon

Small bowel,

ileum

Ascendingcolon

Leftgonadal v

Inferiorvena cava

Quadratuslumborum m

Aorticbifurcation




8/19


9/19

Figure 20.2.3


Latissimusdorsi m

Left adrenalgland

Intercostala and v

Descendingaorta

Leftventricle

Rightventricle Stomach

Leftlung

Spleen

Transversecolon

Splenic a

Gastrohepaticlig

Pancreas,

bodySplenic v

Stomachantrum

Sigmoidcolon

Left renal v

Iliocostalisandlongissimusdorsi mm

Psoas m

Duodenum,third portion

Inferiormesenteric v

Liver,lateral

segment

Figure 20.2.4

Left renal a

Leftgonadal v

Left renal v


Descendingaorta

Gastroesophageal junction

Accessoryhemiazygos v

Transversecolon

Left gastrica and v

Stomachantrum

Sigmoidcolon

Lumbar v


Psoas m

Splenica and v

Liver,lateral

segment

Pancreas,body


Left commoniliac a

Rectusabdominis m

494 CT OF THE ABDOMEN: SAGITTAL



10/19

Figure 20.2.5

Left renal a


Celiac trunk

Aorta

Esophagus

Diaphragm


Left gastric a

LeftatriumSplenic v Splenic a

Rightventricle

Median arcuate lig

Transversecolon

Stomachantrum

Umbilicus



Gastroepiploica and v

Gastrocoliclig

Liver,lateral

segment

Pancreas,body

Left commoniliac v

Left commoniliac a

Sigmoidmesocolon

Sigmoidcolon

Smallbowel

Figure 20.2.6

Crus ofdiaphragm

Ligamentumvenosum

Liver,caudate lobe

Esophagus

Left renal v


Aorta

Iliocostalis andlongissimusdorsi mm

Left ventricleSplenic a

Transversecolon

Left commoniliac v

Gastroepiploica and v

Gastrocoliclig

Superiormesenteric v

Omentum andomentalvessels

Liver,lateral

segment

Splenoportalconfluence

Pancreas,neck

Stomach

Sternum

Small bowelmesentery and

mesentericvessels

Sigmoidcolon

Smallbowel

CT OF THE ABDOMEN: SAGITTAL 495



11/19

Figure 20.2.7

Crus ofdiaphragm

Inferior venacava,suprahepaticportion

Inferior venacava,hepatic portion

Inferior venacava

Right renal a

Multifidus m

Right atrium Right lungLiver, caudate lobe

Transversecolon

Right common iliac a,bifurcation

Commonbile duct

Pancreas,uncinate

process


Liver,lateral

segment

Commonhepatic a

Mainportal v

Pancreas,head

Left portal v

Diaphragm

Small bowel

Figure 20.2.8

Crus of diaphragm

Superiorpancreaticoduodenal

Inferior vena cava

Right renal a

Multifidus m

Lumbarvessels

Longissimusdorsi m


Mainportal v

Liver,caudate lobe

Leftportal v

Properhepatic a

Pancreas, head

Rectusabdominis m

Omentum andomental vessels

Left portal v,umbilical portion

Left hepatic a

Gastroduodenal a

Diaphragm

Transversecolon

Smallbowel

Rightexternaliliac a

Rightcommon

iliac v




12/19

Figure 20.2.9

Crus ofdiaphragm

Right adrenalgland

Right renal a

Right kidney,superior pole

Right renal v

Psoas m

Longissimusdorsi m

Rightgonadal v

Iliocostalis m

Duodenum,secondportion

Liver, rightanteriorsegment

Liver,posteriorsegment

Rightportal v

Properhepatic a

Leftportal v

Right internalmammary a

Pancreas,head

Transversecolon

Small bowel

Rectusabdominis m

Liver,lateral

segment

Liver,medial

segment

Diaphragm

Ligamentumteres

Figure 20.2.10

Liver, rightposteriorsuperiorsubsegment(segment VII)

Crus ofdiaphragm

Right portal v

Right renal v

Right kidney

Liver,caudate lobe

Iliocostalis andlongissimusdorsi mm

Psoas m

Renal pelvis

Liver, anteriorsuperior subsegment

(segment VIII)Rightlung

Falciformlig

Gallbladderneck

Small bowel

Inferiorepigastricvessels

Transversecolon

Rectusabdominis m

Duodenum,secondportion

Commonhepatic

duct

Liver,medial

segment(segment IV)

Diaphragm

Righthepatic a

CT OF THE ABDOMEN: SAGITTAL 497



13/19

Figure 20.2.11

Rightportal v,posteriorbranch

Right kidney,renal cortex

Longissimusdorsi m

Iliocostalis m

Psoas m

Renalmedulla

Liver, right posteriorsuperior subsegment

(segment VII)

Liver, right anteriorsuperior subsegment

(segment VIII)Rightlung

Small bowel

Rectusabdominis m

Gallbladderbody

Colon,hepaticflexure

Liver, rightanteriorinferior


Figure 20.2.12Liver, rightposteriorsuperiorsubsegment(segment VII)

Liver, rightposteriorinferiorsubsegment(segment VI)

Ascendingcolon

Right kidney

Quadratuslumborum m

Iliac crest

Latissimusdorsi m

Liver, right anteriorsuperior subsegment

(segment VIII)Right portal v,

anterior branchRightlung

Gallbladderbody

Rectusabdominis m


Gallbladderfundus

Liver, rightanteriorinferior





14/19

CORONAL

Figure 20.3.1Left diaphragm

Left gastroepiploica and v

Rightgastroepiploica and v

Abdominal wall(rectusabdominis m)and inferiorepigastric a and v

Omentalvessels

Liver,lateral segment

Costalcartilage

Sternum,xiphoid process

Liver,medial

segment

Small bowelloop

Falciformlig

Gallbladderfundus

Figure 20.3.2

Stomach body

Leftgastroepiploica and v

Sigmoid colon

Gastrocolic lig

Transversecolon


Liver, left portal v,subsegmental

branches(p IVa and p IVb)

Liver, left portal v,subsegmental

branch(p III)

Rightventricle

Stomachantrum

Ligamentumteres

Small bowel,ileum


Small bowel mesentery

Internaloblique m

Externaloblique m

Omentum

Duodenalbulb

Gallbladderbody

CT OF THE ABDOMEN: CORONAL 499



15/19

Figure 20.3.3

Stomach

Liver, left lobe,lateral inferiorsubsegment(segment III)

Left gastric a


Aorticbifurcation

Left commoniliac a

Gastrocolictrunk

Superiormesenteric v

Transversecolon


Liver, left lobe,medial segment

(segment IV)

Liver, left lobe,lateral superior

subsegment(segment II)

Rightventricle

Leftventricle

Lefthepatic

a

Leftportal

v

Small bowel,ileum

Liver, right lobe,anterior inferior

subsegment(segment IV)

Liver, right lobe,anterior superior


Inferiorvena cava

Rightcommon

iliac v

Rightcommon

iliac a

Leftcommon

iliac v

Pancreas, neck

Gastroduodenal a

Cecum

Gallbladderbody

Figure 20.3.4

Stomach

Liver, left lobe,lateral inferiorsubsegment(segment III)

Liver, left lobe,lateral superiorsubsegment(segment II)

Left ventricleLeft hepatic v

Splenic a

Splenoportalconfluence


Pancreas,body


(segment IV)Right

ventricle

Middlehepatic

v

Leftportal

v






Left hepatic a

Hepatoduodenallig

Inferiorvena cava

Inferiormesenteric

v

Pancreas,uncinateprocess

Superiormesenteric

a

Ileocecalvalve

Smallbowel,ileum

Aorta

Main portal v

Commonbile duct

Pancreas, head

Gallbladderneck

500 CT OF THE ABDOMEN: CORONAL



16/19

Figure 20.3.5

Figure 20.3.6

Stomach

Left gastrica and v, andgastrohepaticlig

Left diaphragm


Left renal v

Splenic v

Splenic a

Pancreas,body



(segment IV)

Liver,left lobe,

lateral segment




Ascendingcolon

Right portal v,anterior branch

Main portal v

Inferiorvenacava



Psoas mCeliactrunk

Aorta





Stomach



Celiac trunk

Commonhepatic a

Internaloblique m

Externaloblique m

Small bowel



Splenic v

Splenic a

Pancreas,body



(segment IV)Left

portal v

Liver,left lobe,

lateral segment




Ascendingcolon

Right portal v,

anterior branch

Main portal v

Inferiorvena cava

Descendingcolon

Psoas m Aorta

Pancreas, head,and main

pancreatic duct

Gallbladderneck

Properhepatic a



17/19

Figure 20.3.7

Stomach

Liver,lateralsegment

Left gastric v



Splenic v

Splenic a

Pancreas,body


Externaloblique m

Internaloblique m

Leftgastric a

Ligamentumvenosum

Leftventricle

Rightventricle

Celiactrunk



Ascendingcolon


Commonhepatic a

Right portal v

Inferiorvenacava

Leftrenal v

Leftgonadal v

Smallbowel,

jejunum

Rightrenal a

Aorta


Figure 20.3.8


Left renal a

Iliacus m

Left renal v


Pancreas,body and tail


Liver,caudate

lobe AortaLeft

ventricleRightatrium

Crus of diaphragm

Middlehepatic v

Inferiorvena cava

Ascendingcolon



Liver, rightanterior

superiorsubsegment

(segment VIII)

Right renal v

Psoas mRightrenal a

L2 vertebralbody

Colon,hepaticflexure




18/19

Figure 20.3.9

Short gastrica and v

Left kidney,inferior pole

Left renal v


Colon,splenicflexure

Stomachfundus


Inferiorvena cava,

suprahepaticportionSplenic v Splenic a

Crus ofdiaphragm

Right kidney,renal pelvis

Right portal v,posterior

branch


Right

hepatic v

Aorta

Liver,posteriorsegment

Psoas mPancreas,tail

Quadratuslumborum m

L3 vertebralbody

Figure 20.3.10

Shortgastric a

Splenic a

Splenic v

Psoas m

Left kidney

Descendingcolon

Quadratuslumborum m

Pancreas, tail

Spleen

Stomachfundus

Rightadrenalgland

LeftadrenalglandAorta

Perirenal fascia

Right kidney

Liver, rightposterior superior


Liver, rightposterior inferior

subsegment(segment VI)


Left crus ofdiaphragm




19/19

Figure 20.3.11

Splenic a

Splenic v

Descendingcolon

Quadratuslumborum m

Gluteusmedius m

Pancreas,tail

Spleen

Stomachfundus

Shortgastric v

Leftadrenalgland

Rightlung

LeftlungAorta

Right adrenalgland

Right kidney

Liver,right lobe,posteriorsegment


Left kidney,renal medulla

Left kidney,renal cortex

IliumLeft crus ofdiaphragm

Figure 20.3.12

Externaloblique m

Left kidney

Iliocostalis m

Longissimusdorsi m

Spleen

Left lung

Twelfth rib

Spinousprocess

Multifidus m

Liver,right lobe,posteriorsegment

Right lung


ct of the abdomen

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