Paracolic gutters refer to open areas between the wall of the abdomen and the colon.
Paracolic gutter mass.
The left gutter runs between the descending colon and the abdominal wall and just like the right gutter empties into the lower abdomen and pelvic area.
Either of two grooves formed by the peritoneum and lying respectively lateral to the ascending and descending colons.
The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space.
The right paracolic gutter is continuous with the perisplenic space or area around the spleen.
It is also known as sulci paracolic and paracolic recesses.
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.
Peritoneal carcinomatosis is the most common secondary tumor affecting the peritoneal cavity.
Disease may spread from the retroperitoneum which contains the aorta to the peritoneal space along the peritoneal cavity around aortic branches which extend into the mesenteries the so called subperitoneal space 4 5.
It occurs most commonly with the cancers of the gastrointestinal tract and ovaries.
The main paracolic gutter lies lateral to the colon on each side.
In a male patient this is a very uncommon diagnosis.
A less obvious medial paracolic gutter may be formed especially on the right side if the colon possesses a short mesentery for part of its length.
Tumors also occur at other sites of fluid stasis including the mesenteric folds right paracolic gutter and subhepatic and subphrenic spaces.
These images look quite similar to images of a pseudomyxoma peritonei which was discussed before.
The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a.
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It is the depression between the postero lateral wall of the abdomen and the lateral margins of the ascending and descending colon.
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There is a multi cystic mass extending from the pelvis along the right paracolic gutter to the upper abdomen.
Medical definition of paracolic gutter.
