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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2022; 32(03): 365-371
DOI: 10.1055/s-0042-1756221
Pictorial Essay

The Mediastinal Visceral Space: The Central Pathway for the Spread of Mediastinal Disease

Janardhana Ponnatapura 
1   Department of Radiology, Wake Forest University School of Medicine, Winston Salem, North Carolina, United States
,
Michael Oliphant
1   Department of Radiology, Wake Forest University School of Medicine, Winston Salem, North Carolina, United States
,
John M. Holbert
2   Department of Radiology, National Teleradiology Program, Durham, North Carolina, United States
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Abstract

The connective tissue of the mediastinal visceral space extends from the neck through the chest and into the abdomen. This connective tissue encases the esophagus and tracheobronchial tree and is bounded by the perivisceral fascia. The continuous longitudinal and axial interconnection of the mediastinal visceral space accounts for commonly observed bidirectional pathways of disease through the chest. Disease patterns that seem counterintuitive when viewed through the lens of gross anatomy are more understandable in view of this knowledge. This article illustrates case examples of the spread of gas, fluid, fat and soft tissue mass through the mediastinal visceral space.

Keywords

spread of disease - mediastinal pathology - compartments of the mediastinum - perivisceral fascia


Publikationsverlauf

Artikel online veröffentlicht:
17. August 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Fraser RG, Paré PA. eds. The Normal Chest. In: Diagnosis of Diseases of the Chest. 2nd ed.. Philadelphia, PA: Saunders; 1977: 1-183
    Suche in Google Scholar
  • 2 Felson B. Chest Roentgenology. Philadelphia, PA: Saunders; 1973
    Suche in Google Scholar
  • 3 Heitzman ER. The Mediastinum: Radiologic Correlations with Anatomy and Pathology. Berlin: Springer-Verlag; 1988
    CrossrefSuche in Google Scholar
  • 4 Carter BW, Benveniste MF, Madan R. et al. ITMIG classification of mediastinal compartments and multidisciplinary approach to mediastinal masses. Radiographics 2017; 37 (02) 413-436
    CrossrefPubMedSuche in Google Scholar
  • 5 Marchand P. The anatomy and applied anatomy of the mediastinal fascia. Thorax 1951; 6 (04) 359-368
    CrossrefPubMedSuche in Google Scholar
  • 6 Weijs TJ, Goense L, van Rossum PSN. et al. The peri-esophageal connective tissue layers and related compartments: visualization by histology and magnetic resonance imaging. J Anat 2017; 230 (02) 262-271
    CrossrefPubMedSuche in Google Scholar
  • 7 Meyers MA, Charnsangavej C, Oliphant VI M. Eds. New York: Meyers Dynamic Radiology of the Abdomen: Normal and Pathologic Anatomy. New York: Springer; 2011: 9-12
    CrossrefSuche in Google Scholar
  • 8 Arey LB. Developmental Anatomy: A Textbook and Laboratory Manual of Embryology. 5th ed.. Philadelphia: WB Saunders; 1946: 244-263
    Suche in Google Scholar
  • 9 Moore KI. The Developing Human: Clinically Oriented Embryology. 4th ed.. Philadelphia: WB Saunders; 1988: 159-169
    Suche in Google Scholar
  • 10 Langman J. Medical Embryology. 4th ed.. Baltimore: Williams and Wilkins; 1981: 144-156
    Suche in Google Scholar
  • 11 Patten BM. Human Embryology. 3rd ed.. New York: The Blakiston Division McGraw-Hill Book Company; 1968: 406-426
    Suche in Google Scholar
  • 12 Oliphant M, Wiot JF, Whalen JP. The cervicothoracic continuum. Radiology 1976; 120 (02) 257-262
    CrossrefPubMedSuche in Google Scholar
  • 13 Oliphant M, Berne AS, Meyers MA. The subserous thoracoabdominal continuum: embryologic basis and diagnostic imaging of disease spread. Abdom Imaging 1999; 24 (03) 211-219
    CrossrefPubMedSuche in Google Scholar
  • 14 Frias Vilaça A, Reis AM, Vidal IM. The anatomical compartments and their connections as demonstrated by ectopic air. Insights Imaging 2013; 4 (06) 759-772
    CrossrefPubMedSuche in Google Scholar
  • 15 Macklin MT, Macklin CC. Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions. Medicine (Baltimore) 1944; 23 (04) 281-358
    CrossrefSuche in Google Scholar