Pre-reading for Anatomy Practical:

Abdomen and Pelvis

Key learning points

1. Review the various imaging modalities.

– Based on this, try to explain two advantages of ERCP over
MRCP and vice-versa.
2. Review the visceral organs that lie posterior to the posterior
parietal peritoneum (retroperitoneal), paying attention to the bowel
structures.
3. Familiarise with the relations of the GI tract.
4. Understand the anatomic relations of the ischiorectal fossa.
5. Understand the relations between the common bile duct,
pancreatic duct and the duodenum.
6. Be familiar with Couinaud classification of liver segments.
– What are the planes along which the segments are defined?
 Fluoroscopy Ultrasound CT MRI

Cost + + ++ +++

Availability ++ ++ ++ +

Technical demands ++ ++ + ++

Operator dependence +++ +++ + ++

Ionising radiation ++ - ++ -

Adverse effects ++ - + (+)

Reproducibility + + +++ ++

Reader experience + ++ +++ +++

Key features Dynamic Solid vs cystic Choice modality Excellent soft

assessment for acute setting tissue contrast

Mainly GI, Superficial Ideal for bowel Problem solving

urological and organs imaging tool
post-surgical
Complications Patient None Contrast induced Nephrogenic
discomfort nephropathy systemic fibrosis
(CIN) (NSF)
Posterior parietal peritoneum and retroperitoneal
structures
Overview – GI tract

Stomach

Duodenum

Colon
Small intestines
Anatomic relations of the ischiorectal fossa
Normal Hepatobiliary Anatomy
Liver – Couinaud classification