Subdiaphragmatic Pockets

- These are cavities of varying sizes located between the muscles of the diaphragm and the pleura. They are two different sections, which are separated from each other by the diaphragm, have a large extent and contain adipose tissue. The size of the pancreas, its location and functioning depend on the diameter of the subdiaphragmatic recess. Most often, the pathology occurs in patients aged 30-45 years. The subdiaphragmatic pocket can be single-chamber or multi-chamber. According to their structure, they are divided into two types: subpleural and paramediastinal. Each type has its own characteristics of manifestation, diagnosis and treatment. Their main difference is their location in the body, the diameter of the pockets, and the density of the walls. As a result of pathological changes in the cardiac part of the stomach, it takes the opposite direction, but the reverse arrangement of the organs remains. Between the organs at the site of the hernia is the esophagus and air. With gastroesophageal reflux, vomit enters the oral cavity when food is thrown into the stomach. First, air belching appears - air sharply exhaled from the stomach comes out through the mouth. Ultimately, without proper and timely treatment, a narrowing of the esophagus develops, the patient has to take food in small portions, and swallowing dysfunction appears. The formation of a subdiaphragmatic pancreatic pouch should not be confused with an enlargement of the organ. You need to know that both of these processes can occur in parallel. If measures to treat the first ailment are not followed, the patient can expect to acquire a second one. The single-chamber type of the subdiaphragmatic pocket is much more dangerous than the second one. It can be detected based on X-ray data. Diagnosis can be made by ultrasound and chest x-ray. What is a diaphragm **Diaphragm** (Latin diaphragma - “membrane”) is a muscle that separates the chest from the abdominal cavity. It has the shape of a dome and consists of three parts: the xiphoid process, the costal part and the lumbar part. The diaphragm has an oblong shape, unpaired in nature with chords of paired ribs and superior lobar folds of the lungs extending from it. The central part of the diaphragm is formed by a promontory (spina diaphragmatis), located slightly downward from the point of transition of the costal parts of the diaphragmatic surface to the lumbar surface and represents the narrowest and strongest place of the diaphragm. To the right and left of the middle of the diaphragmatic arch, depressions connect with the rattling trunks of the diaphragm - the right and left pleural arcuate openings. The pleural arcuate foramen is an important anatomical landmark for determining the level of internal organs cavities into the chest cavity, is of practical importance during surgical interventions on the lungs, heart, abdominal organs and

Intrathoracic folds run from the pleura to the diaphragm