Paracolic Gutters Retroperitoneal

What are the paracolic gutters rectouterine pouch retroperitoneal space ulnar gutter subphrenic space abdominal wall hepatic flexure peritoneal space ascendi. There are two paracolic gutters in the body the right and left lateral paracolic gutter. 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.

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This is a basic article for medical students and other non radiologists.

Paracolic gutters retroperitoneal.

Brain foods for brain health boost brain health with good eats duration. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. These gutters are used to drain infectious material away from the essential internal organs. The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space.

Mucinous carcinomatosis is the most common cystic tumor to affect the peritoneal cavity. Thus centrally located triangular areas of high attenuation abdominal fluid should prompt a search for intraperitoneal bowel or mesenteric injury 7 8. The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a. Usually these metastases arise from mucinous carcinomas of the ovary or of the gastrointestinal tract stomach colon pancreas.

In severe cases necrosis and inflammation can extend caudally toward the retroperitoneal spaces near the paracolic gutters. Those patients conventionally have undergone percutaneous drainage with a small caliber catheter or surgical debridement for management. Uc davis health recommended for you. Paracolic gutters are open areas between the wall of the abdomen and the colon.

Free intraperitoneal fluid may be termed free fluid or less correctly free intra abdominal fluid it may be seen in small volumes in female patients particularly around the time of menses and in some healthy young men. The main paracolic gutter lies lateral to the colon on each side. Mucinous carcinomatosis with a tumor nodule along the right paracolic gutter. Liver or splenic hemorrhage more typically descends peripherally along the paracolic gutters into the pelvis and is not entrapped in interloop spaces.