65 T_h e peritoneum, mesentery, greater omentum a

ACKNOWLEDGEMENTS The author would like to acknowledge the artistic support of Dara Walsh, who gen...

ANATOMY OF THE MESENTERY AND PERITONEUM All abdominal digestive organs develop in or on the mesen...

Abdominal fluid collections Abdominal collections are subdivided into intraperitoneal and retroper...

Acute bacterial peritonitis Acute bacterial peritonitis most commonly arises from perforation of ...

Adhesions Pathology - Adhesions are best classified with reference to their appear - ance. They ar...

Biliary peritonitis Biliary peritonitis is mostly seen after cholecystectomy and arises from slip...

Chronic mesenteric ischaemia Chronic mesenteric ischaemia is due to atherosclerotic narrowing at ...

Chylous ascites In some patients, the ascitic fluid appears milky because of an excess of chylom...

DEVELOPMENT OF THE MESENTERY AND PERITONEUM Early in development, the human abdomen comprises a w...

Diffuse (generalised) peritonitis This normally signifies the occurrence of a life-threatening pa...

FURTHER READING Byrnes KG, McDermott K, Co ff ey JC (eds). Mesenteric organogenesis. Semin Cell De...

Familial Mediterranean fever Familial Mediterranean fever (FMF; synonym familial paroxysmal polys...

History In ileocaecal volvulus the patient often describes a longstand ing history of intermitte...

INTRAPERITONEAL ABSCESS FORMATION An intraperitoneal abscess is a collection of pus in the perit...

Intraperitoneal collections Ascites Peritoneal fluid is constantly secreted and absorbed. Accumu l...

Introduction No content extracted automatically.

Investigation The modern diagnosis of an abscess is radiological using CT ( Figure 65.10 ). CT i...

Learning objectives To understand: The development and anatomy of the mesentery and • peritoneum

MESENTERIC ADENITIS AND THE MESENTERY IN CROHN’S DISEASE Ileocaecal mesenteric adenitis occurs in...

MESENTERIC ADENITIS This is inflammation of the lymph nodes of the mesentery - ( Figure 65.11 )...

MESENTERIC HAEMATOMA A mesenteric haematoma can follow abdominal compression in trauma (e.g. sea...

Mesenteric cysts Cysts may occur in any region of the mesentery ( Figure 65.16 ). They are most ...

Mesenteric sclerosis and panniculitis Mesenteric sclerosis This is also termed sclerosing encapsu...

Mesenteric stretch during colonoscopy Development of pain doing colonoscopy is frequently attrib...

Non-gastrointestinal causes of acute bacterial peritonitis Pelvic infection via the Fallopian tub...

PERITONEAL (MESOTHELIAL) SAC AND HERNIA FORMATION The processus vaginalis refers to a peritoneal ...

PERITONEAL INCLUSION CYSTS Introduction These are benign cysts lined by peritoneal mesothelium. T...

PERITONITIS Peritonitis is inflammation of the peritoneum and can be cate gorised as localised or...

RETROPERITONEAL SPACE COLLECTIONS These are fluid collections in the retroperitoneal space and the...

ROTATIONAL DISORDERS Malrotation Malrotation refers to a failure of formation of the mid-region...

Retroperitoneal lipoma The patient may seek advice on account of a swelling or because of indefi...

Retroperitoneal sarcoma Retroperitoneal sarcomas are rare tumours accounting for only 1–2% of al...

Retroperitoneal fibrosis This is a relatively rare diagnosis characterised by development of a fla...

Secondary peritoneal malignancy Peritoneal carcinomatosis Peritoneal carcinomatosis is common and...

Special considerations: Abscess formation following intestinal surgery and anastomosis The develo...

Special considerations: Prevention of abscess formation after appendicitis During appendectomy , ...

Special considerations: Subphrenic abscess This refers to the presence of pus immediately beneat...

Spontaneous bacterial peritonitis Spontaneous bacterial peritonitis (SBP; sometimes called primar...

THE GREATER OMENTUM The greater omentum corresponds to the anterior wall of the upper region of ...

THE MESENTERY GENERAL CONSIDERATIONS The arterial supply and venous and lymphatic drainage of ea...

THE PERITONEUM The peritoneal cavity is the largest cavity in the body , the 2 surface area of i...

THE RETROPERITONEAL SPACE AND RETROPERITONEUM The non-mesenteric domain is posterior to the mesen...

THE RETROPERITONEUM The retroperitoneum is the region of the non-mesenteric domain deep to the r...

TUBERCULOSIS OF THE MESENTERIC L YMPH NODES Tuberculous mesenteric lymphadenitis is considerably ...

TUMOURS OF THE PERITONEUM Primary peritoneal malignancy Primary tumours of the peritoneum are ra...

Treatment Abscesses less than 5 /uni00A0 cm in diameter normally resolve with intravenous antibio...

Tuberculous peritonitis Intra-abdominal tuberculosis (TB) is common in resource- poor countries; ...

Tumours of the mesentery Primary tumours of the mesentery include carcinoid, lymphoma, sarcoma a...

VASCULAR ABNORMALITIES OF THE MESENTERY Acute mesenteric ischaemia ). The arterial inflow to the ...

Volvulus of the intestine and adjoining mesentery V olvulus can only be understood if considered...