Paracolic Gutter Retroperitoneal

Paracolic gutters are open areas between the wall of the abdomen and the colon.

Paracolic gutter retroperitoneal.

What are the paracolic gutters rectouterine pouch retroperitoneal space ulnar gutter subphrenic space abdominal wall hepatic flexure peritoneal space ascendi. Hemorrhage from the liver typically flows in a caudal direction from the perihepatic spaces and hepatorenal fossa along the right paracolic gutter and into the cul de sac which is the rectouterine space in women and rectovesical space in men fig 1. The left medial paracolic gutter. These gutters are used to drain infectious material away from the essential internal organs.

The right lateral paracolic gutter. In severe cases necrosis and inflammation can extend caudally toward the retroperitoneal spaces near the paracolic gutters. The retroperitoneal space retroperitoneum is the anatomical space sometimes a potential space in the abdominal cavity behind retro the peritoneum. The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a.

Hemoperitoneum starts near the site of injury and flows along expected anatomic pathways. Common sites of peritoneal implants are in the dependent aspects of the pelvis pouch of douglas in women or retrovesical space in men ileocecal region paracolic gutters subhepatic space subphrenic space and root of the mesentery. It has no specific delineating anatomical structures. There are two paracolic gutters.

The inframesocolic space also contains paracolic gutters which are peritoneal recesses that are inferolateral extensions of their corresponding inframesocolic spaces on the posterior abdominal wall lateral to the ascending and descending colon respectively. Transgastric endoscopic necrosectomy with nasocystic lavage is accepted as one of the standards of care for the management of walled off necrosis secondary to acute pancreatitis. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. There are two paracolic gutters in the body the right and left lateral paracolic gutter.

Ct is the study of choice for the evaluation of peritoneal and mesenteric pathology. The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space.