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402

S. He et al.

 

 

4.6\ Longitudinal Plane

of Spermatic Cord

Fig. 10.21

Longitudinal plane of spermatic cord

RSV

4.6.1\ Scanning Method

The patient lies in a supine position; a sling is made with a piece of paper to hold the penis on the anterior aspect of the lower abdominal wall. The patient may be told to immobilize the penis with his hand, and then the probe is placed in a longitudinal way at the upper pole of the scrotum to scan the spermatic cord.

4.6.2\ Section Structure

4.6.3\ Measuring Method and Normal

Diameters of the plexus pampiniforms and the testicular vein can be measured in this view.

4.6.4\ The Clinical Application Value

The spermophlebectasia, undescended testis, hydrocele (funicular hydrocele, hydrocele of the tunica vaginalis testis), etc. can be diagnosed here.

The longitudinal view can show the plexus pampiniforms, testicular vein and artery, etc.

Retroperitoneal Space

11

and Adrenal Gland Scanning

Mei Zhang and Jian Liu

Abstract

The objective of this chapter is to teach the readers to learn to operate scanning of the adrenal glands and organs in retroperitoneal space, and recognize the image figures. The contents contain the scanning method, section structures, measuring method and normal, and clinical application value of the retroperitoneal space.There are the pancreas, duodenum, adrenal glands, kidneys, and large blood vessels in the retroperitoneal space. The patient’s position and preparation before examination, the location and direction of the transducer are described in the scanning methods. The scanning range includes the scans on upper abdomen, middle abdomen, and lower abdomen. Transversely, longitudinal and oblique scanning methods are introduced. The section structures show the location of every cavities of the retroperitoneal space and the landmark for judging the organs in the retroperitoneal space. The measuring methods and normal describe the specification requirement of measurements in standard section and the normal range.

M. Zhang (*)

Ultrasonic Diagnosis Department,

Beijing Royal Integrative Medicine Hospital, Beijing, China

e-mail: doctorzhangmei@126.com

J. Liu

Department of Ultrasound, The First Affiliated Hospital of Chinese PLA General Hospital, Road 51 Fucheng, Haidian District,

Beijing Haidian, People’s Republic of China e-mail: liujian_304@126.com

Abbreviations

AA\

Abdominal aorta

AG\

Adrenal gland (SAG suprarenal gland)

Ao\

Aorta

AU\

Antrum

CBD\

Common bile ductDia diaphragm

CA\

Celiac artery

CHD\

Common hepatic duct

CHA\

Common hepatic artery

DAo\

Descending aorta

Dia\

Diaphragm

DU\

Duodenum

© Springer Nature Singapore Pte Ltd. and People’s Military Medical Press 2018

403

M. Zhang (ed.), Atlas of Human Body Ultrasound Scanning, https://doi.org/10.1007/978-981-10-5834-9_11

404

 

 

 

M. Zhang and J. Liu

 

 

 

 

E\

Esophagus

PV\

Portal vein

GB\

Gallbladder

RAG\

Right adrenal gland

HA\

Hepatic artery

RK\

Renal kidney

IVC\

Inferior vena cave

RL\

Right liver lobe

LAD (LAG)\ Left

adrenal gland (left suprarenal

RPV\

Right portal vein

 

gland)

RRA\

Right renal artery

LK\

Left kidney

RRV\

Right renal vein

LL\

Left liver lobe

RV\

Renal vein

LRA\

Left renal artery

SA\

Spleen artery

LRV\

Left renal vein

SMA\

Superior mesenteric artery

P\

Pancreas

SMV\

Superior mesenteric vein

PB\

Pancreatic body

S\

Spine

PH\

Pancreatic head

Sp\

Spleen

PHA\

Proper hepatic artery

SpA\

Splenic artery

RA\

Renal artery

SpV\

Splenic vein

PT\

Pancreatic tail

St\

Stomach

Ps\

Psoas