Document Detail


Helical CT evaluation of the perirenal space and its boundaries: a cadaveric study.
MedLine Citation:
PMID:  11230636     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine whether the perirenal spaces communicate across the midline and with the pelvic extraperitoneal spaces. MATERIALS AND METHODS: Helical CT was used to guide the sequential injection of 100-mL intravenous boluses of dilute contrast medium, up to 300 mL, into the perirenal space of eight embalmed cadavers (three male, five female; mean age at death, 82 years; range, 72-93 years), with four left-sided and four right-sided injections. All images were acquired after the final injection (300 mL total) to facilitate coronal and sagittal reconstruction of relevant images. All images were reviewed to assess the flow pathways of contrast medium from the perirenal space to other retroperitoneal spaces. RESULTS: In three cadavers that received left perirenal space injections and in two cadavers that received right perirenal space injections, communication was seen with the contralateral perirenal space through an area anterior to the aorta and inferior vena cava. In three cadavers that received right perirenal space injections, contrast material flowed from the right perirenal space to outline the bare area of the liver. Communication between the perirenal and pelvic extraperitoneal spaces was seen in all eight cadavers; contrast material extended into the pelvic extraperitoneal and presacral spaces. CONCLUSION: These findings show that the perirenal spaces communicate with each other across the midline and with the pelvic extraperitoneal spaces. Clinical implications are that perinephric collections can potentially flow into the pelvis or across the midline.
Authors:
F J Thornton; S S Kandiah; W S Monkhouse; M J Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  218     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-03-14     Completed Date:  2001-04-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  659-63     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Beaumont Hospital and Royal College of Surgeons in Ireland, Beaumont Rd, Dublin 9, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cadaver
Female
Humans
Kidney
Male
Retroperitoneal Space / anatomy & histology,  radiography*
Tomography, X-Ray Computed / methods*

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