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Spatium retroperitoneale (TA: 10.1.01.002) est spatium anatomicum textus connexivi intra cavitatem abdominalem et sub peritoneum locatum. Aliter quam organa intraperitonealia structuris retroperitonealibus non terminatio definitiva altera quam peritoneum anterius locatum est. Secundum definitionum unam structura retroperitonealis appellatur, simul primum inter peritoneum parietale et parietem abdominalem et expers mesenterii sita est^[1]. Deorsum spatium retroperitoneale continuum ad cavitatem pelvis transit.

Quaedam mala in spatio retroperitoneale in structuris proximis symptomata adferre perfida queant.

Situs anatomicus

Spatium retroperitoneale in cavitate abdominali infra diaphragmatem et iecorem et lienem, post peritoneum, et ante musculos dorsales (ut musculi psoas, transversus abdominis, paravertebrales, iliacus) columnamque vertebralem locatum est.

Organa et structura in spatio retroperitoneali

Hae sectio sagittalis **spatium retroperitoneale** parvum inter peritoneum (rubre) et columna vertebralem cum pancreate et duodeno ostendit.

Praeparatio inusitata *a tergo* cum columna vertebrali resecta. Ante aortam (rubre) et venam cavam inferiorem (caerulee) peritoneum posterius videtur. Nota ureteres ante vasa iliaca transire.

Organa

Uterque ren
Uterque pelvis renalis
Uterque ureter
Uterque glandula suprarenalis

Organa secundarie in spatio retroperitoneali

Duodenum
Colon (solum partes ascendens et descendens, non transversa)
Pancreas

Vasa sanguinea

Pars abdominalis aortae
Vena cava inferior
Vena lumbalis ascendens

Systema lymphaceum

In spatio retroperitoneali nodi lymphatici regioniales organorum et spatii retroperitonealis et pelvis velut partum intestini parietisque dorsalis trunci locati sunt, ex quibus lympha in cisternam chyli Pequetiensem initium ductus thoraci, parte superiore spatii retroperitonealis et prope hiatum aorticum diaphragmatis, fluit. Deinde lympha in trunco thoracico, paene tote retrothoracale, sursum ducitur. Cisterna chyli lympham recipit:

per truncos lumbales dextrum sinistrumque de nodis lymphaticis coeliacis lienis, gastri, pancreatis, duodeni, etiam transdiaphragmaticiter partum inferiorum pulmonum, iecoris vesicaeque biliaris, omenti maioris, intestini tenuis crassique,
per truncos intestinales de nodis lymphaticis lumbalibus organorum cavitatis pelvis, organum genitalium externorum, recti, prostatae (in viris), fornicis vaginae (in mulieribus).

Nervi

Truncus sympathicus, pars lumbalis
Quidam plexus systematis autonomici nervosi
Nervus subcostalis
Plexus lumbalis

Mala et morbi spatii retroperitonealis

Fibrosis retroperitonealis (morbus Ormondiensis)

Fibrosis retroperitonealis (morbus Ormondiensis) est permutatio telarum ad materia fibrosa^[2].

Haematoma retroperitoneale

Haematoma retroperitoneale est arcervus sanguinis diversis causis^[3]^[4]^[5].

Sarcoma retroperitoneale

Sarcomata retroperitonealia sunt rari mesodermate cancri derivati textus connectivi. Circiter centesimae quindecim omnium sarcomatum retroperitonealia sunt^[6].

Schwannoma retroperitoneale (neurilemmoma)

Schwannomata (neurilemmomata) sunt tumores nervorum periphericorum. Illa rarissime in spatio retroperitoneali inveniuntur^[7].

Metastasis

Conferatur pagina principalis Metastasis.

Metastasis significat migratione cellularum malignarum creatio carcinomatum novorum. In spatio retroperitoneale imprimis per systema lymphaceum metastasis cancrorum diversorum momentum maximum, ad aestimationem ac therapiam et prognosem spectans, habet.

Notae

↑ Gray's Anatomy for Students, 2nd Ed. 2010., pag. 251, (Anglice)
↑ Thongprayoon C., Spanuchart I., Cheungpasitporn W., Kangwanpornsiri A. (2014). "Idiopathic retroperitoneal fibrosis: a challenging case in a rare disease". N Am J Med Sci 6 (5): 237-8
↑ Ulubay M. (2018). "Spontaneous retroperitoneal hematoma associated with combined warfarin and ticlopidine use". Urol Case Rep 22: 34-36
↑ Ohtsuka R., Amano H., Niida K., Yoshino T., Owari M., Takano R., Akama Y., Watanabe Y., Iwao T. (2018). "Massive retroperitoneal hematoma following colonoscopy: A case report". Medicine (Baltimore). 97 (31): e11723
↑ Goins W. A., Rodriguez A., Lewis J., Brathwaite C. E., James E. (1992). "Retroperitoneal hematoma after blunt trauma". Surg Gynecol Obstet 174 (4): 281-90
↑ Clark J. A., Tepper J. E. (1996). "Role of radiation therapy in retroperitoneal sarcomas". Oncology (Williston Park) 10 (12): 1867-72
↑ Song J. Y., Kim S. Y., Park E. G., Kim C. J., Kim D. G., Lee H. K., Park I. Y. (2007). "Schwannoma in the retroperitoneum". J Obstet Gynaecol Res 33 (3): 371-5

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[1] Gray's Anatomy for Students, 2nd Ed. 2010., pag. 251, (Anglice)

[2] Thongprayoon C., Spanuchart I., Cheungpasitporn W., Kangwanpornsiri A. (2014). "Idiopathic retroperitoneal fibrosis: a challenging case in a rare disease". N Am J Med Sci 6 (5): 237-8

[3] Ulubay M. (2018). "Spontaneous retroperitoneal hematoma associated with combined warfarin and ticlopidine use". Urol Case Rep 22: 34-36

[4] Ohtsuka R., Amano H., Niida K., Yoshino T., Owari M., Takano R., Akama Y., Watanabe Y., Iwao T. (2018). "Massive retroperitoneal hematoma following colonoscopy: A case report". Medicine (Baltimore). 97 (31): e11723

[5] Goins W. A., Rodriguez A., Lewis J., Brathwaite C. E., James E. (1992). "Retroperitoneal hematoma after blunt trauma". Surg Gynecol Obstet 174 (4): 281-90

[6] Clark J. A., Tepper J. E. (1996). "Role of radiation therapy in retroperitoneal sarcomas". Oncology (Williston Park) 10 (12): 1867-72

[7] Song J. Y., Kim S. Y., Park E. G., Kim C. J., Kim D. G., Lee H. K., Park I. Y. (2007). "Schwannoma in the retroperitoneum". J Obstet Gynaecol Res 33 (3): 371-5

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@@ Linea 52: / Linea 52: @@
 {{NexInt}}
+* [[Pelvis#Organa pelvis]]
 * [[Ren]]
 * [[Systema lymphaceum]]