Research advances in anatomical study on the diffusion routs of acute pancreatitis
10.3760/cma.j.issn.0529-5815.2018.03.014
- VernacularTitle: 急性胰腺炎扩散途径的解剖学研究进展
- Author:
Xinjian LYU
1
;
Le LI
;
Rui KONG
;
Bei SUN
Author Information
1. Department of Pancreatic and Biliary Surgery, First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
- Publication Type:Review
- Keywords:
Pancreatitis;
Retroperitoneal space;
Inflammation;
Diffusion
- From:
Chinese Journal of Surgery
2018;56(3):237-240
- CountryChina
- Language:Chinese
-
Abstract:
The retroperitoneum space comprises anterior pararenal space, perirenal space and posterior pararenal space. Pancreas is a retroperitoneal organ and located in the anterior pararenal space of the retroperitoneum. Left and right sides anterior pararenal space are potentially communicated, which contains many adipose tissues and a little connective tissues. The exacerbation of acute pancreatitis results in the lesion spreading into adjacent area of pancreas in the retroperitoneal space. In addition, the lesion could spread into bare area of stomach, posterior colonic region, subperitoneal space and pelvic retroperitoneal space through the same anatomical space or communicating space. Due to the fascia destruction by pancreatic enzymes or the lesion directly diffuse through the weak fascia, the lesion could also diffuse across fascia to perirenal space, posterior pararenal space, the peritoneal cavity and abdominal wall. Finally, a series of complications are developed. The diffusion paths of acute pancreatitis are complex and diverse. Familiarity with these diffusion paths is useful for determining the severity and guiding therapy.
