A colleague pointed out an interesting CT on a patient with epigastric pain…
This CT shows stranding around the pancreas with fluid tracking in Gerota’s fascial plane. What is Gerota’s fascia you say?
Gerota’s fascia (otherwise known as “Renal Fascia”) is the layer of connective tissue surrounding the kidneys and suprarenal glands. Anterior to this fascial compartment is the prerenal space which contains the pancreas, ascending colon, descending colon, and the second-fourth portions of the duodenum. Any inflammation with these organs can lead to fluid within Gerota’s fascia. On the CT above this is demonstrated by the fluid stripe anterior to the left kidney on the middle image (sagittal plane) and superior to the left kidney on the third image (coronal plane). For an anatomic picture of Gerota’s fascia see the following Wikipedia reference:
Author: Russell Jones, MD
Image Contributor: Tag Hopkins, MD
1. Renal Fascia. http://en.wikipedia.org/wiki/Renal_fascia. Accessed: 5/2013