In Vivo Anatomical Study of Inferior Attachment of Renal Fascia in Adult with Acute Pancreatitis as Shown on Multidetector Computed Tomography_Journal of Biomedical Engineering

Authors：

QIRui ,  ZHOUXiangping , YUJianqun , LIZhenlin

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

ZHOUXiangping, Email: cjr.zhouxiangping@vip.163.com

Keywords：

renal fascia; perirenal space; retroperitoneal space; multidetector computed tomography

DOI：

10.7507/1001-5515.20140062

Video：

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This study aims to explore the inferior adhesion of the renal fascia (RF), and the inferior connectivity of the perirenal spaces (PS) with multidetector computed tomography (MDCT), and to investigate the diagnostic value of CT for showing this anatomy. From May to July 2012, eighty-two patients with acute pancreatitis presented in our hospital were enrolled into this study and underwent contrast-enhanced CT scans. All the image data were used to perform three dimensional reconstruction to show the inferior attachment of RF and the inferior connectivity of PS. The fusion of anterior renal fascia (ARF) and posterior renal fascia (PRF) next to the plane of iliac fossa were found on the left in 71.95% (59/82) cases, and on the right in 75.61% (62/82). In these cases, bilateral perirenal spaces, and anterior and posterior pararenal spaces were not found to be connected with each other. No fusion of ARF and PRF below the level of bilateral kidneys occurred on the left side in 28.05% (23/82) cases and on the right side in 24.39% (20/82). In these patients, the PS extended to the extraperitoneal space of the pelvic cavity and further to the inguinal region, and bilateral anterior and posterior pararenal spaces were not found to be connected with each other. Three-dimensional reconstruction on contrast-enhanced MDCT could be a valuable procedure for depicting inferior attachment of RF, and the inferior connectivity of PS.

Citation： QIRui, ZHOUXiangping, YUJianqun, LIZhenlin. In Vivo Anatomical Study of Inferior Attachment of Renal Fascia in Adult with Acute Pancreatitis as Shown on Multidetector Computed Tomography. Journal of Biomedical Engineering, 2014, 31(2): 332-335. doi: 10.7507/1001-5515.20140062 Copy

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1. LIM J H,KIM B,AUH Y H.Anatomical communications of the perirenal space[J].Br J Radiol,1998,71(844):450-456.
2. WHALEN J P,BERNE A S,RIEMENSCHNEIDER P A.The extraperitoneal perivisceral fat pad.Ⅰ.its role in the roentgenologic visualization of abdominal organs[J].Radiology,1969,92(3):466-472.
3. KOROBKIN M,SILVERMAN P M,QUINT L E,et al.CT of the extraperitoneal space:normal anatomy and fluid collections[J].AJR Am J Roentgenol,1992,159(5):933-942.
4. MINDELL H J,MASTROMATTEO J F,DICKEY K W,et al.Anatomic communications between the three retroperitoneal spaces:determination by CT-guided injections of contrast material in cadavers[J].AJR Am J Roentgenol,1995,164(5):1173-1178.
5. 姜苏明,高贤华,雷清芳,等.腹膜后间隙纵向联系的应用解剖[J].广东解剖学通报,1996,18(1):1-6.
6. MEYERS M A.Dynamic radiology of the abdomen:normal and pathological anatomy[M].4th ed.New York NY:Springer-Verlag,1994:219-234.
7. RAPTOPOULOS V,LEI Q F,TOULIOPOULOS P,et al.Why perirenal disease does not extend into the pelvis:the importance of closure of the cone of the renal fasciae[J].AJR Am J Roentgenol,1995,164(5):1179-1184.
8. WOLFRAM-GABEL R,KAHN J,RAPP E.Is the renal space closed?[J].Clin Anat,2000,13(3):168-176.
9. MOLMENTI E P,BALFE D M,KANTERMAN R Y,et al.Anatomy of the retroperitoneum:observations of the distribution of pathologic fluid collections[J].Radiology,1996,200(1):95-103.
10. 闵鹏秋.腹膜后间隙疾病的影像诊断——一个曾长期被疏忽甚至被遗忘的角落[J].中华放射学杂志,2002,36(10):871-872.
11. 王娜,刘荣波,孔维芳,等.多层螺旋CT对成人正常活体肾筋膜的研究价值[J].实用医院临床杂志,2008,5(6):51-53.
12. 陈平,唐春.经腹腔镜后入路引流治疗重症急性胰腺炎[J].中国现代普通外科进展,2009,12(11):928-930.
13. 董志辉,杨志刚,李媛,等.盆部原发性肿瘤多层螺旋CT表现特征及其解剖,病理学基础[J].生物医学工程学杂志,2009,26(1):75-79.
14. 严志汉,闵鹏秋,代敏,等.急性胰腺炎累及盆部腹膜外间隙的螺旋CT表现[J].中华急诊医学杂志,2006,15(11):1006-1009.
15. LEE S L,KU Y M,RHA S E.Comprehensive reviews of the interfascial plane of the retroperitoneum:normal anatomy and pathologic entities[J].Emerg Radiol,2010,17(1):3-11.

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In Vivo Anatomical Study of Inferior Attachment of Renal Fascia in Adult with Acute Pancreatitis as Shown on Multidetector Computed Tomography

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