hinteres Mediastinum
The posterior mediastinum (or paravertebral compartment) is a potential space along the paravertebral sulci. It is conceptually considered a portion of the inferior mediastinum, and separated from the middle mediastinal compartment and the remainder of the extrapleural intrathoracic cavity by arbitrary lines.
Gross anatomy
Relations
- superiorly: superior mediastinum
- anteriorly: anterior and middle mediastinum (which form the other compartments of the inferior mediastinum).
It is continuous with the retropharyngeal space via the posterior part of the superior mediastinum.
Contents
- thoracic spine
- paraspinal nervous system
- thoracic spinal ganglion
- sympathetic trunk and major branches
- rami communicantes of intercostal nerves
- paravertebral soft tissues
- proximal intercostal vessels
- distal azygos-hemiazygos venous system
Boundaries
- superiorly: thoracic inlet
- inferiorly: diaphragm
- anteriorly: posterior boundaries of middle mediastinum (1 cm posterior to anterior margin of thoracic vertebral bodies)
- posteriorly: posterior margin of chest wall, along the transverse processes of thoracic vertebrae
- laterally: mediastinal parietal pleura
Related pathology
- wide variety of malignancies, e.g. mesothelioma, lung, neurogenic (e.g. schwannoma), teratoma, lymphoma, sarcoma
- lymphadenopathy
- aortic aneurysm
- extramedullary hematopoiesis
See also
- main article: differential for a posterior mediastinal mass
Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu hinteres Mediastinum: