Paracolic Gutter Metastasis

Spread of deposits to the right subhepatic and subphrenic spaces is also frequently seen especially in ovarian cancer.

Paracolic gutter metastasis.

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 main paracolic gutter lies lateral to the colon on each side. Paracolic gutters refer to open areas between the wall of the abdomen and the colon. On ct seeded metastases appear as nodular or plaque like soft tissue masses in association with ascites.

It is also known as sulci paracolic and paracolic recesses. 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. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. The right paracolic gutter is continuous with the perisplenic space or area around the spleen.

Mucous and attached tumor are usually observed. Their deposition and growth occur at particular sites due to relative stasis of ascitic fluid 1 undersurface of the diaphragm due to negative pressure and capillary force omenta tendency to move toward the areas of peritoneal irritation recto uterine space pouch of douglas right lower quadrant region of ileocaecal junction left lower quadrant superior aspect of sigmoid mesocolon and right paracolic gutter are prone for metastatic implants. The right paracolic gutter. Etiologically it means a channel adjacent to the abdominal wall.

A less obvious medial paracolic gutter may be formed especially on the right side if the colon.