Paracolic Gutter Subphrenic Recess

What are the paracolic gutters rectouterine pouch retroperitoneal space ulnar gutter subphrenic space abdominal wall hepatic flexure peritoneal space ascendi.

Paracolic gutter subphrenic recess.

Right subphrenic abscesses are often secondary to intra abdominal sepsis e g. Left upper quadrant luq. There are left and right subphrenic spaces separated by the falciform ligament of the liver. A less obvious medial paracolic gutter may be formed especially on the right side if the colon.

Rectovesical pouch male patients or in female patients rectouterine pouch of douglas. Etiologically it means a channel adjacent to the abdominal wall. Peritoneal recesses or peritoneal gutters are the spaces formed by peritoneum draping over viscera. Subphrenic abscesses refer to an accumulation of pus in the left or right subphrenic space.

The main paracolic gutter lies lateral to the colon on each side. They are more common on the right side due to the increased frequency of appendicitis and ruptured duodenal ulcers pus from the appendix can track up to the subphrenic space via the right paracolic gutter. Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter. The right paracolic gutter is a component of the right inframesocolic space continuous superiorly with the right subhepatic and right subphrenic spaces.

The left medial paracolic gutter. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Subphrenic space splenorenal recess spleen tip left paracolic gutter and. It is larger than the left paracolic gutter which is partially separated from the left subphrenic spaces by the phrenicocolic ligament.

Peritonitis ruptured liver abscess ruptured appendicular abscess and may have an acute or chronic course. Paracolic gutters help keep infectious material away from the body s internal organs. Additional views may. They are located between the diaphragm and the liver.

The paracolic gutter paracolic sulci paracolic recesses is a space between the colon and the abdominal wall. Likewise the right paracolic gutter also acts as a conduit for pelvic infections to track up into the right subphrenic and subhepatic spaces 2. This abdominal space may also be referred to as the paracolic recesses or the sulci paracolici but is different from the paramesenteric gutters. It is also known as sulci paracolic and paracolic recesses.

The term refers mainly to four spaces in the abdominal cavity.