The Many Faces of the Angry Peritoneum
Maria Chiara Ambrosetti1, Matilde Bariani1, Giulia Angela Zamboni2
1Radiology Unit, Department of Pathology and Diagnostics, Azienda Ospedaliera Universitaria Integrata of Verona, 37126 Verona, Italy.
Diagnostics (Basel, Switzerland)
|May 14, 2025
Summary
This review clarifies peritoneal anatomy and disease spread patterns. It highlights imaging features to differentiate peritoneal carcinomatosis from other peritoneal diseases.
Area of Science:
- Radiology
- Gastroenterology
- Oncology
Background:
- The peritoneum is a crucial abdominal lining involved in disease spread.
- Peritoneal carcinomatosis, from GI and pelvic cancers, is a common pathology.
- Benign and malignant peritoneal diseases can mimic carcinomatosis on imaging.
Purpose of the Study:
- To review peritoneal anatomy and disease spread.
- To identify imaging features distinguishing various peritoneal diseases.
- To aid in differentiating carcinomatosis from mimics.
Main Methods:
- Anatomical review of peritoneal compartments.
- Analysis of disease spread patterns.
- Correlation of imaging findings with pathologies.
Main Results:
- Detailed description of peritoneal compartments and their roles in disease dissemination.
- Identification of characteristic imaging findings for neoplastic and non-neoplastic peritoneal conditions.
- Differentiation criteria for peritoneal carcinomatosis versus mimics.
Conclusions:
- Understanding peritoneal anatomy is key to interpreting disease spread.
- Distinct imaging features help differentiate peritoneal carcinomatosis from other conditions.
- Accurate diagnosis relies on recognizing specific patterns of peritoneal involvement.
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