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Pathways of extrapelvic spread of disease: Anatomic-radiologic correlation. The American journal of roentgenology, radium therapy, and nuclear medicine. [Am J Roentgenol Radium Ther Nucl Med] Journal article

 
TitlePathways of extrapelvic spread of disease: Anatomic-radiologic correlation.
Author(s)Meyers MA, Goodman KJ 
SourceAm J Roentgenol Radium Ther Nucl Med 1975 Dec; 125(4):900-9.
MeSHAdult
Aged
Appendicitis
Barium Sulfate
Colon, Sigmoid
Diverticulum, Colon
Female
Gastrointestinal Diseases
Hematoma
Humans
Intestinal Perforation
Male
Middle Aged
Pelvis
Rectal Diseases
Retroperitoneal Space
AbstractExtrapelvic spread of disease, particularly from gastrointestinal tract perforations which may be clinically occult, may first present in the buttock, hip, thigh, and even lower leg, and the extraperitoneal space of the abdomen itself. Clinical manifestations at these remote sites may be very misleading. Anatomic and roentgenologic observations establish the preferential pathways of extrapelvic spread. These are related to the insertions and fascial investments of the iliopsoas, pyriformis, and obturator internus muscles and the ensheathed penetrations of the superior gluteal arteries. Superiorly, extension from the pelvic tissues seeks out the posterior pararenal compartment of the extraperitoneal region of the abdomen. Roentgenologic signs may first identify the presence, extent, and localization of the primary process.
Languageeng
Pub Type(s)Case Reports
Journal Article
PubMed ID1211521
  
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