It is difficult to identify normal peritoneal folds and ligaments at imaging however infectious inflammatory neoplastic and traumatic processes frequently involve the peritoneal cavity and its reflections thus it is important to identify the affected peritoneal ligaments and spaces. Publicationdate july 5 2009 this review is based on a presentation given by angela levy and adapted for the radiology assistant by robin smithuis we will discuss the normal anatomy and physiology of the peritoneum and peritoneal cavity. Ct peritoneography is an examination used to assess difficulties with peritoneal dialysis indications recurrent peritonitis with difficulty with fluid exchange abdominal wall or genital soft tissue edema localized bulging of the abdomen and poor ultrafiltration. This lecture is a part of basic radiologic anatomy series the lecture discussing basic radiologic anatomy of the peritoneum with ct and mri. Other lesions such as papillary serous carcinoma desmoplastic small round cell tumor and mesenchymal tumors including both benign and malignant tumors may occur but are difficult to diagnosis on imaging findings alone ct scan plays an important role in the detection of peritoneal carcinomatosis and its mimics
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