Paracolic Gutter Retroperitoneal

Hemoperitoneum starts near the site of injury and flows along expected anatomic pathways.

Paracolic gutter retroperitoneal.

The left medial paracolic gutter. It has no specific delineating anatomical structures. The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a. These gutters are used to drain infectious material away from the essential internal organs.

Transgastric endoscopic necrosectomy with nasocystic lavage is accepted as one of the standards of care for the management of walled off necrosis secondary to acute pancreatitis. 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. There are two paracolic gutters. The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space.

The retroperitoneal space retroperitoneum is the anatomical space sometimes a potential space in the abdominal cavity behind retro the peritoneum. What are the paracolic gutters rectouterine pouch retroperitoneal space ulnar gutter subphrenic space abdominal wall hepatic flexure peritoneal space ascendi. In severe cases necrosis and inflammation can extend caudally toward the retroperitoneal spaces near the paracolic gutters. Ct is the study of choice for the evaluation of peritoneal and mesenteric pathology.

Paracolic gutters are open areas between the wall of the abdomen and 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 retroperitoneal hematoma measured 13 4 mm diameter and severely compressed the inferior vena cava ivc fig. Common sites of peritoneal implants are in the dependent aspects of the pelvis pouch of douglas in women or retrovesical space in men ileocecal region paracolic gutters subhepatic space subphrenic space and root of the mesentery.

The right lateral paracolic gutter. Organs are retroperitoneal if they have peritoneum on their anterior side only.