ABDOMEN, PELVIS AND PERINEUM

1
ABDOMEN, PELVIS AND PERINEUM
2
PLAIN FILM (KUB) AND BARIUM STUDIES
3
THE GASTRIC ANTRUM IS VERY ANTERIOR
4

• GASTRIC ANTRUM

252
5
THE TRANSVERSE AND PROXIMAL SIGMOID COLON ARE
VERY ANTERIOR
6

• TRANSVERSE COLON
• SIGMOID COLON
• CECUM

252
7
ON A SUPINE FILM, GAS WILL RISE TO THE LEAST
DEPENDENT POINTS (i.e. ANTERIOR STRUCTURES)
8

• GASTRIC ANTRUM
• TRANSVERSE COLON
• SIGMOID COLON (PROXIMAL)

9
EG JUNCTION FUNDUS BODY ANTRUM DUODENUM
259
10
LEFT HAND RULEPLACE LEFT HAND ON RIGHT HIP

• FUNDUS
• BODY
• ANTRUM
• DUODENUM

11

• UGI SERIES (SUPINE)
• FUNDUS
• BODY
• ANTRUM
• DUODENUM

12
SAME PATIENT WHICH IS PRONE AND WHICH IS
SUPINE?

• PRONE
• SUPINE

13
263
14

• JEJUNUM
• ILEUM

15
COLON

• CECUM
• ASCENDING COLON
• TRANSVERSE COLON
• DESCENDING COLON
• SIGMOID COLON
• RECTUM

292
16
BARIUM ENEMA

• CECUM
• ASCENDING COLON
• TRANSVERSE COLON
• DESCENDING COLON
• SIGMOID COLON
• RECTUM

17

• TERMINAL ILEUM
• CECUM
• APPENDIX

265
18
CECUM
APPENDIX
19
ANGIOGRAPHIC ANATOMY OF THEABDOMEN
20

• CELIAC TRUNK
• HEPATIC ARTERY
• SPLENIC ARTERY
• SMA
• LEFT RENAL ARTERY
• RIGHT RENAL ARTERY

247
21
NORMAL AORTOGRAM (FRONTAL)

• HEPATIC ARTERY
• SPLENIC ARTERY
• RIGHT RENAL ARTERY
• LEFT RENAL ARTERY

22
NORMAL AORTOGRAM (LATERAL)

• CELIAC AXIS
• SMA

23
282
24

• MAIN HEPATIC ARTERY
• GASTRODUO-DENAL ART
• HEPATIC PROPER
• LEFT GASTRIC
• SPLENIC ART

282
25
CELIAC ARTERIOGRAM (ARTERIAL)

• MAIN HEPATIC A.
• GASTRODUO-DENAL ARTERY
• HEPATIC PROPER ARTERY
• LEFT GASTRIC A
• SPLENIC ARTERY

26
IVCPORTAL VEIN
PANCREAS AND STOMACH CUT

• SPLENIC VEIN
• INFERIOR MESENTERIC VEIN
• SUPERIOR MESENTERIC VEIN

290
27
CELIAC ARTERIOGRAM(VENOUS PHASE)

• SPLENIC VEIN
• PORTAL VEIN SPLEEN

28

• SMA
• JEJUNAL BRANCHES
• ILEOCOLIC ARTERY

286
29
SUPERIOR MESENTERIC ARTERIOGRAM

• SMA
• JEJUNAL BRANCH
• ILEOCOLIC ARTERY

NOT ON TEST
30
SUPERIOR MESENTERIC VEIN RUNS TO THE RIGHT OF THE
SUPERIOR MESENTERIC ARTERY
31

• SMV
• SMA

292
32

• PORTAL VEIN
• SPLENIC VEIN
• IMV
• SMV
• SMA

292
33
SMA (VENOUS PHASE)
NOT ON TEST
34
SMA(VENOUS PHASE)

• PORTAL VEIN
• SMV
• CATHETER IN SMA

NOT ON TEST
35

• SMA
• IMA

287
36

• LEFT COLIC ARTERY
• IMA
• SUPERIOR RECTAL ARTERY

37
INFERIOR MESENTERIC ARTERIOGRAM

• IMA
• LEFT COLIC ARTERY
• SUPERIOR RECTAL ARTERY

CATHETER IN THE IMA
38
CT ANATOMY
39
CUT 1. ABOVE CELIAC AXIS
40
ON ALL SCANS IDENTIFY

• STOMACH
• LIVER
• AORTA
• INF VENA CAVA
• RT KIDNEY
• LT KIDNEY

1
41
PORTAL VEIN RUNS ALONG THE VENTRAL SURFACE OF THE
INFERIOR VENA CAVA
42

• AORTA
• IVC
• PORTAL VEIN

290
43
CUT 1 ABOVE CELIAC AXIS
44
PORTAL VEIN
IVC

• SPLEEN

1
45
DIAPHRAGMATIC CRURA

• FIBROUS ATTACHMENT OF THE DIAPHRAGM

46

• AORTA
• RIGHT CRUS
• LEFT CRUS

282
47
CRURA FORM A TENT IN CROSS SECTION (AXIAL)
48
DIAPHRAGMATIC CRURA
1
49
HEPATIC ARTERY RUNS ALONG THE VENTRAL SURFACE OF
THE PORTAL VEIN
50

• AORTA
• IVC
• PORTAL VEIN
• MAIN HEPATIC ARTERY
• HEPATIC PROPER ART

282
51
CUT 2. TOP OF THE CELIAC AXIS
52
HEPATIC ARTERY PORTAL VEIN CRURA

• SPLEEN

2
53
CELIAC AXIS IS THE FIRST MAJOR BRANCH OFF OF THE
AORTA
54

• CELIAC TRUNK
• HEPATIC ARTERY
• SPLENIC ARTERY
• LEFT GASTRIC
• SMA

247
55
CUT 3. THROUGH THE CELIAC AXIS
56
PORTAL VEIN CELIAC AXIS

CRURA
AORTA
IVC

• SPLEEN

3
57
SPLENIC VEIN RUNS ALONG THE DORSAL SURFACE OF THE
PANCREAS
58
IVC PORTAL VEIN PANCREAS (CUT)

• STOMACH
• DUODENUM
• SPLENIC V
• IMV
• SMV

290
59
CUT 4. BETWEEN THE CELIAC AND SMA
60
4
61
IVC PORTAL VEIN PANCREAS
SPLENIC VEIN
4
62
PORTAL VEIN IS FORMED WHEN THE SPLENIC VEIN
JOINS SUPERIOR MESENTERIC VEIN
63

• AORTA
• IVC
• PORTAL VEIN
• SPLENIC VEIN
• SUPERIOR MESENTERIC V

290
64
SUPERIOR MESENTERIC ARTERY IS THE SECOND MAJOR
BRANCH OF THE ABDOMINAL AORTA
65
311
66
CELIAC AXISSMAIVC
311
67
CUT 5. SMV AND SPLENIC FORM PORTAL V
68
5
69
IVC AORTA SMA
PANCREAS PORTAL V
SPLENIC V
5
70
LEFT RENAL VEIN RUNS BETWEEN AORTA AND SUPERIOR
MESENTERIC ARTERY
71
311
72
CELIAC AXISSMALEFT RENAL VIVC
AORTA
311
73
CUT 6. ALONG LEFT RENAL VEIN
74
6
75
IVC LEFT RENAL VEIN SMV
SMA
AORTA
6
76
PANCREATIC HEAD LIES MEDIAL TO THE DUODENUM AND
TO THE RIGHT OF THE SMV
77

• PORTAL VEIN
• DUODENUM
• PANCREATIC HEAD
• SMV

290
78
CUT 7. THROUGH PANCREATIC HEAD
290
79
7
80
IVC DUODENUM PANCREATIC HEAD
AORTA SMA
SMV
6
81
ANGIOGRAPHICANATOMYOF THEPELVIS
82

• AORTA
• COMMON ILIAC ARTERY
• INTERNAL ILIAC ARTERY
• EXTERNAL ILIAC ARTERY

83
CT ANATOMY OF THE PELVIS
84
SAGITAL MALE PELVIS

• RECTUS ABDOMINIS
• BLADDER
• SEMINAL VESICLE
• PROSTATE
• RECTUM

338
85
SAGITAL MALE PELVIS
338
86
BLADDER SEMINAL VESICLE RECTUM
GLUTEUS FEMUR
87
SAGITAL MALE PELVIS
338
88
PENIS PUBIS
PROSTATE
RECTUM COCCYX ISCHIORECTAL FOSSA
89
BLADDER UTERUS RECTUM
FEMALE PELVIS FROM ABOVE
339
90
RECTUS ABDOMINIS BLADDER UTERUS

• RECTUM SACRUM GLUTEUS

91
AORTASPLENIC ARTERYSPLENIC VEINPORTAL VEIN
92
X
1
93
X
2
94
3
95
4
96
5
97
X
4
98
X
3
99
X
2
100
X
1
101
AORTASMASMVPORTAL VEIN
102
X
1
103
X
2
104
X
3
105
X
4
106
X
5
107
X
6
108
X
7
109
X
7
110
X
6
111
X
5
112
X
4
113
X
3
114
X
2
115
X
1
116
AORTALEFT RENAL ARTLEFT RENAL VEINIVC
117
X
1
118
X
2
119
X
3
120
X
4
121
X
5
122
X
6
123
X
7
124
X
7
125
X
6
126
X
5
127
X
4
128
X
3
129
X
2
130
X
1