 R1 Olvera

TAREA 4
 Subdiaphragmatic space

L
L
Lesser omentum
Subhepatic space
S
S
Transverse mesocolon

T Greater omentum / T
gastrocolic ligament I
I
I
I I Small bowel mesentery I
I I

Rectouterine pouch

Sagittal schematic (right) and corresponding contrast-enhanced CT

image (left) of the abdominopelvic cavity show the surgically most
important peritoneal spaces and ligaments. I = small bowel, L = liver, S =
stomach, T = transverse colon. (Adapted and reprinted, with permission,
from Kyriazi S, Kaye SB, deSouza NM, “Imaging ovarian cancer and
Peritoneal Spaces, Folds, and
Ligaments

Gastrohepatic ligament
Gastrosplenic ligament

Hepatoduodenal ligament

Transverse meso-
colon
Small bowel mesentery

Sigmoid meso-
colon
Coronal contrast-enhanced CT images
show the major peritoneal ligaments in a
patient with diffuse peritoneal
carcinomatosis and a large amount of
ascites.
OMENTO
MAYOR
 OMENTO MENOR

LO = lesser omen-tum; GSL

= gastrosplenic ligament;
SRL = splenorenal ligament;
GSR = gastrosplenic recess;
SRR = splenorenal recess;
ST = stomach; CL = caudate
lobe; PV = portal vein; LL =
left lobe of liver. (Courtesy of
Yong Ho Auh, M.D., Asan
Medical Center, Seoul,
Korea)
 Saco Menor

Ascites is present in the greater peritoneal

cavity (A) and in the lesser sac (LS) between
the pancreas (P) and stomach (ST), where it is
distinctly demarcated laterally by the
gastrosplenic ligament (arrows). SP = spleen.
SACO MAYOR
 Saco de Douglas
∗ U
Re
B
V
Sagittal T2-weighted fast spin-
echo MR image in a female
patient shows the location of the
rectouterine pouch (arrow) in
relation to the supravesical space
(∗), bladder (B), rectum (Re),
uterus (U), and vagina (V).
∗
B
Re
P
Sagittal contrast-enhanced CT
image in a male patient depicts
the location of the rectovesical
pouch (arrow) relative to the
supravesical space (∗), bladder
(B), prostate (P), and rectum (Re).