ABDOMINAL

IMAGING
ANATOMY
ESOPHAGUS
Level Vertebra C6-Th.11
Length 25 cm; Diameter 2 cm
Layers:
Fibrous
Muscularis
Submucosa
Mucosa
7 Segments
Paratracheal
Aorta
Bronchial
Interaorticobronchial
Interbronchial
Retrocardiac
Epinephric
Physiologic Narrowing:
1. Pharyngoesophageal
2. Aortic Arch
3. Left Main Bronchus
4. Esophageal Hiatus
STOMACH/GASTER
Cardiac;
Fundus;
Corpus;
Pylorus;
Bulbus
Duodenum
Mucosa:
Maagenstras
se

DUODENUM
Length 20-24 cm
Mucosa: Plicae
Circulares
Barium Meal: Feathery-
like
Pembagian:
1. Bulbus Duodenum
2. Pars Desendens
(+Papilla Vateri)
3. Pars Transversum
4. Pars Asendens

JEJUNUM & ILEUM
JEJUNUM ILEUM
Lokasi: Kiri atas
Mucosa: Plicae Circulares
Diameter: 3-3,5 cm

End: Ileocecal Junction
Lokasi : Kanan bawah
Diameter: 3 cm

COLON
Mucosa: Plicae Semilunaris
Haustrae
Taenia Coli
Diameter 5-6 cm
Parts:
1. Caecum
2. Ascendens
3. Transversum
4. Descendens
5. Sigmoid
6. Rectum
SUPINE
UPRIGHT/ERECT
DECUBITUS
INTERPRETATION
1. Preperitoneal Fat
2. Psoas Lines
3. Kidneys
4. Gas Pattern
5. Calcification
6. Other Solid Organs (Liver, Spleen)
7. Bones
8. Everything else (Free Air, Intra/Extraluminal
Fluid)
GAS PATTERN
Stomach
Small Bowel
Colon
Rectosigmoid

Abnormal:
Ileus
Obstruction : Upper lv, Lower lv.
Paralytic
ILEUS
Localized
Pancreatitis, Appendicitis, Diverticulitis,
Ulcer
Generalized/Paralytic
Post-operative
Metabollic
Electrolyte
Sepsis
CAUSES OF OBSTRUCTION
Small Bowel
Adhesion,
Hernia,
Intussusception
Colon
Mass,
Volvulus,
Hernia,
Inflammation
Upper Obstruction
Lower Obstruction
CALCIFICATION
Urinary stones
Kidney, ureteral, bladder
Gall stones
Vascular
Aortic wall, aneurysm
Phleboliths
Masses
Corpal
Clippers, Stent, IUD, Implants

SOLID ORGANS
Hepatomegaly
Splenomegaly
Enlarged Kidneys
BONES
Lumbal spine
Fracture, Osteophytes, Curve
Pelvis
Fracture, Osteophyte, Arthritis
Osteoporosis
Metastases

EXTRALUMINAL FLUID

ASCITES
FREE AIR
Pneumoperitoneum