Right subphrenic space

Changed by Dr Nivantha Dematawa, 24 May 2016

Updates to Article Attributes

Body was changed:

Right Subphrenic space (also known as the right anterior space, Right Subdiaphragmatic space) is a potential space lies between the right lobe of the liver and the underside of the diaphragm.

Gross Anatomy

This is a sub compartment of the Supra colic compartment. It reaches as far as the upper boundary of the bare area of the liver.

Boundaries

It is bounded Superiorly (underneath the diaphragm) by the superior layer of the Coronary ligament, Right (Laterally) by the right triangular ligament and left side (Medially) by the Falciform ligament. Inferiorly it continues with rest of the right supramesocoloc compartment.

Communications

Anatomically it communicates inferiorly with rest of the supramesocolic compartment, hence the right sub hepatic compartment and the lesser sac through the Epiploic foramen. But, the clinically important subphrenic abscesses are often concealed and confined to the space.

Related Pathology

Right subphrenic abscesses are often secondary to intra abdominal sepsis. (Eg-Peritonitis,ruptured liver abscess,ruptured appendicular abscess etc.) and may have an acute or chronic course.Gas accumulation within the space in a case of ruptured hollow viscera can be demonstrated radiologically, as "gas under the diaphragm".

  • -<p>Right Subphrenic space (also known as the right anterior space, Right Subdiaphragmatic space) is a potential space lies between the right lobe of the liver and the underside of the diaphragm.</p><p><strong>Gross Anatomy</strong></p><p>This is a sub compartment of the Supra colic compartment. It reaches the upper boundary of the bare area of the liver.</p><p><strong>Boundaries</strong></p><p>It is bounded Superiorly (underneath the diaphragm) by the superior layer of the Coronary ligament, Right (Laterally) by the right triangular ligament and left side (Medially) by the Falciform ligament. Inferiorly it continues with rest of the right supramesocoloc compartment.</p><p><strong>Communications</strong></p><p>Anatomically it communicates inferiorly with rest of the supramesocolic compartment, hence the right sub hepatic compartment and the lesser sac through the Epiploic foramen. But, the clinically important subphrenic abscesses are often concealed and confined to the space.</p><p><strong>Related Pathology</strong></p><p>Right subphrenic abscesses are often secondary to intra abdominal sepsis. (Eg-Peritonitis,ruptured liver abscess,ruptured appendicular abscess etc.) and may have an acute or chronic course.Gas accumulation within the space in ruptured hollow viscera can be demonstrated radiologically.</p>
  • +<p>Right Subphrenic space (also known as the right anterior space, Right Subdiaphragmatic space) is a potential space lies between the right lobe of the liver and the underside of the diaphragm.</p><p><strong>Gross Anatomy</strong></p><p>This is a sub compartment of the Supra colic compartment. It reaches as far as the upper boundary of the bare area of the liver.</p><p><strong>Boundaries</strong></p><p>It is bounded Superiorly (underneath the diaphragm) by the superior layer of the Coronary ligament, Right (Laterally) by the right triangular ligament and left side (Medially) by the Falciform ligament. Inferiorly it continues with rest of the right supramesocoloc compartment.</p><p><strong>Communications</strong></p><p>Anatomically it communicates inferiorly with rest of the supramesocolic compartment, hence the right sub hepatic compartment and the lesser sac through the Epiploic foramen. But, the clinically important subphrenic abscesses are often concealed and confined to the space.</p><p><strong>Related Pathology</strong></p><p>Right subphrenic abscesses are often secondary to intra abdominal sepsis. (Eg-Peritonitis,ruptured liver abscess,ruptured appendicular abscess etc.) and may have an acute or chronic course.Gas accumulation within the space in a case of ruptured hollow viscera can be demonstrated radiologically, as "gas under the diaphragm".</p>

References changed:

  • 1. Healy J. Detection of Peritoneal Metastases. Cancer Imaging. 2001;1(2):4-12. <a href="https://doi.org/10.1102/1470-7330.2001.002">doi:10.1102/1470-7330.2001.002</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/18203670">Pubmed</a>
  • 1. Healy J. Detection of Peritoneal Metastases. Cancer Imaging. 2001;1(2):4-12. <a href="https://doi.org/10.1102/1470-7330.2001.002">doi:10.1102/1470-7330.2001.002</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/18203670">Pubmed</a>
  • 1. McMinn R.M,H Last'sl anatomy Regional and Applied, ninth edition. Churchilland Livingstone. (1994)

Sections changed:

  • Anatomy

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