肋骨横隔洞
WordNet
- put into a recess; "recess lights"
- a small concavity (同)recession, niche, corner
- an enclosure that is set back or indented (同)niche
- make a recess in; "recess the piece of wood"
- resembling an alcove
PrepTutorEJDIC
- 〈C〉〈U〉(通常の活動の一時的な)『休み』,休憩 / 〈U〉《米》(学校の)休み時間,休暇 / 〈C〉(本棚・戸棚などをはめ込むための)(部屋の)引っ込み / 〈C〉《しばしば複数形で》《文》奥まった所,隠れた所 / 〈部屋〉‘に'引っ込みを作る;〈戸棚など〉‘を'引っ込みにはめ込む / 休憩する,休会する
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/02/18 10:18:51」(JST)
[Wiki en表示]
| Costodiaphragmatic recess |
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Chest X-ray of a 30-year-old healthy man, with the costodiaphragmatic recess label in red ellipse
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Front view of thorax, showing the relations of the pleurae and lungs to the chest wall
(pleura in blue and lungs in purple)
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| Details |
| Identifiers |
| Latin |
Recessus costodiaphragmaticus |
Dorlands
/Elsevier |
r_05/12696578 |
| TA |
A07.1.02.013 |
| FMA |
11355 |
| Anatomical terminology
[edit on Wikidata]
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The costodiaphragmatic recess, also called the costophrenic recess or phrenicocostal sinus,[1] is a potential space in the pleural cavity, at the posterior-most tips of the cavity, located at the junction of the costal pleura and diaphragmatic pleura (in the costophrenic angle). It measures approximately 5 cm vertically and extends from the eighth to the tenth rib along the mid-axillary line.
Contents
- 1 Function
- 2 Clinical significance
- 2.1 Imaging
- 2.2 Pleural effusion
- 3 See also
- 4 References
- 5 External links
Function
The lungs expand into this recess during forced inspiration; however, the recess never fills completely. During expiration, it contains no lung tissue, only pleural fluid.
Clinical significance
Pleural effusions collect in the costodiaphragmatic recess when in standing position.[2]
A thoracocentesis (pleural tap) is often performed here while a patient is in full expiration because of less risk of puncturing the lungs and thereby causing pneumothorax.[2]
Imaging
Comparison between a normal costophrenic angle on the patient's right, and an obscured costophrenic angle (circled) on the patient's left, due to pneumonia with parapneumonic effusion.
In anatomy, the costophrenic angles are the places where the diaphragm (-phrenic) meets the ribs (costo-).
Each costophrenic angle can normally be seen as on chest x-ray as a sharply-pointed, downward indentation (dark) between each hemi-diaphragm (white) and the adjacent chest wall (white). A small portion of each lung normally reaches into the costophrenic angle. The normal angle usually measures thirty degrees.
Pleural effusion
With pleural effusion, fluid often builds up in the costophrenic angle (due to gravity). This can push the lung upwards, resulting in "blunting" of the costophrenic angle. The posterior angle is the deepest. Obtuse angulation is sign of disease.
Chest x-ray is the first test done to confirm the presence of pleural fluid. The lateral upright chest x-ray should be examined when a pleural effusion is suspected. In an upright x-ray, 75 mL of fluid blunts the posterior costophrenic angle. Blunting of the lateral costophrenic angle usually requires about 175 mL but may take as much as 500 mL. Larger pleural effusions opacify portions of the hemithorax and may cause mediastinal shift; effusions > 4 L may cause complete opacification of the hemithorax and mediastinal shift to the contralateral side.[citation needed]
See also
References
This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)
- ^ drugs.com > phrenicocostal-sinus Retrieved May 2011
- ^ a b drugs.com > costodiaphragmatic-recess Retrieved May 2011
External links
- 33947706 at GPnotebook
- Anatomy diagram: 02101.002-1 at Roche Lexicon - illustrated navigator, Elsevier
- Diagram (Question #4, item E)
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Anatomy of the thorax
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| General |
- Mediastinum
- Thoracic wall
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| Pleural cavity |
- Parietal pleura
- Visceral pleura
- Pulmonary ligament
- Recesses
- Costomediastinal
- Costodiaphragmatic
- Endothoracic fascia
- Suprapleural membrane
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UpToDate Contents
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English Journal
- Extravascular incidental findings in run-off CT angiography in patients with acute limb ischaemia: incidence and clinical relevance.
- Preuß A1, Elgeti T1, Hamm B1, Werncke T2.
- Clinical radiology.Clin Radiol.2015 Jun;70(6):622-9. doi: 10.1016/j.crad.2015.02.014. Epub 2015 Mar 24.
- AIM: To evaluate the incidence and clinical relevance of extravascular incidental findings (EVIFs) in CT angiography of the abdominal aorta and lower extremities (run-off CTA) in patients presenting with acute limb ischaemia (ALI).MATERIALS AND METHODS: In this institutional review board-approved, r
- PMID 25819627
- Incremental value of pocket-sized imaging device for bedside diagnosis of unilateral pleural effusions and ultrasound-guided thoracentesis.
- Lisi M1, Cameli M, Mondillo S, Luzzi L, Zacà V, Cameli P, Gotti G, Galderisi M.
- Interactive cardiovascular and thoracic surgery.Interact Cardiovasc Thorac Surg.2012 Oct;15(4):596-601. Epub 2012 Jul 19.
- OBJECTIVES: The present study aimed to assess the additional value of a pocket-sized imaging device (PSID) as an adjunct to plain chest X-rays in the diagnosis of pleural effusion (PE), mainly for those requiring pleural thoracentesis.METHODS: We performed a thoracic ultrasound examination using a P
- PMID 22815326
- Inflammatory myofibroblastic tumor on intercostal nerve presenting as paraneoplastic pemphigus with fatal pulmonary involvement.
- Lee DH1, Lee SH, Sung JK.
- Journal of Korean medical science.J Korean Med Sci.2007 Aug;22(4):735-9.
- Inflammatory myofibroblastic tumors (IMTs) are benign neoplasms that can occur at different anatomic sites with nonspecific clinical symptoms. A 48-yr-old woman presented with a 2-month history of a relapsed oral ulcer, progressive dyspnea, and a thoracic pain induced by breathing. A tumorous mass w
- PMID 17728520
Japanese Journal
- 岩崎 正之,小川 純一,井上 宏司,正津 晃
- 日本呼吸器外科学会雑誌 6(5), 592-596, 1992-07-15
- 重症筋無力症を合併した浸潤型胸腺腫で,初回手術後6年及び13年目に胸腔内播種を来し,再切除した症例を経験した.再開胸時の所見では,放射線照射野の縦隔胸膜に播種はなく,放射線照射野外の肋骨横隔膜洞を中心に播種が存在した.このことから,浸潤型胸腺腫の治療法に放射線療法が有用であり,外科療法及び放射線療法に対するさらに積極的な検討が必要であると考えられた.
- NAID 110007153538
Related Links
- In the pleural cavity, the costodiaphragmatic recess (also called phrenicocostal sinus) is a potential space at the posteriormost tips of the cavity, located at the junction of the costal pleura and diaphragmatic pleura. It measures approximately 5 ...
★リンクテーブル★
[★]
- 英
- costodiaphragmatic recess (M)
- 関
- 胸膜洞、肋骨縦隔洞
- 図：M.69,132
- 胸膜腔が両外側および背側の下位肋骨で形成する凹み
[★]
- 休み、休憩。休会。休廷。休暇。休み時間
- 穏退地]]。奥まったところ、奥底、隅。(山脈・海岸線などの)引っ込んだところ
- (解)陥凹、窩
- 後退