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

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