Paracolic Gutter Image

In this section ultrasound ultrasound education faculty image of the fortnight toggle section.

Paracolic gutter image.

The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Hemoperitoneum starts near the site of injury and flows along expected anatomic pathways. Fluid in the right paracolic gutter 6 ascends to morison s pouch 7 and then to the subphrenic space 8 where it is stopped at the bare area ba of the liver l. There are two paracolic gutters.

A less obvious medial paracolic gutter may be formed especially on the right side if the colon. 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. The right lateral paracolic gutter. 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 right and left paracolic gutters both lies on the lateral side of posterior abdominal wall alongside the ascending and descending colon are the peritoneal recesses. The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a. The right lateral gutter is much larger and allows for greater drainage than the left gutter. The left lateral paracolic gutter.

The right lateral paracolic gutter. The paracolic gutters paracolic sulci paracolic recesses are spaces between the colon and the abdominal wall. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Visualize the left subdiaphragmatic space the most important area in the left upper quadrant splenorenal space and left paracolic gutter.

Fluid in the pelvis may ascend the left paracolic gutter 5 but is stopped by the phrenicocolic ligament pcl. B left upper quadrant window. Visualize the right subdiaphragmatic space hepatorenal recess morison pouch the most sensitive recess for upper abdominal free fluid and the right paracolic gutter. The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space.

Paracolic gutters help keep infectious material away from the body s internal organs. Both paracolic gutters run laterally along the back side of the abdominal wall and are situated between the abdominal wall and the outer margin of the colon. The left medial paracolic gutter. There are two paracolic gutters in a human body.