Paracolic Gutter Subphrenic Recess

The term refers mainly to four spaces in the abdominal cavity.

Paracolic gutter subphrenic recess.

The right paracolic gutter is a component of the right inframesocolic space continuous superiorly with the right subhepatic and right subphrenic spaces. Peritonitis ruptured liver abscess ruptured appendicular abscess and may have an acute or chronic course. Additional views may. Paracolic gutters help keep infectious material away from the body s internal organs.

Etiologically it means a channel adjacent to the abdominal wall. Peritoneal recesses or peritoneal gutters are the spaces formed by peritoneum draping over viscera. There are two paracolic gutters in the body the right and left lateral paracolic gutter. There are left and right subphrenic spaces separated by the falciform ligament of the liver.

Morrison s pouch hepatorenal recess liver tip right paracolic gutter and. The main paracolic gutter lies lateral to the colon on each side. The paracolic gutter paracolic sulci paracolic recesses is a space between the colon and the abdominal wall. Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter.

Rectovesical pouch male patients or in female patients rectouterine pouch of douglas. They are located between the diaphragm and the liver. Right subphrenic abscesses are often secondary to intra abdominal sepsis e g. Subphrenic abscesses refer to an accumulation of pus in the left or right subphrenic space.

What are the paracolic gutters rectouterine pouch retroperitoneal space ulnar gutter subphrenic space abdominal wall hepatic flexure peritoneal space ascendi. They are more common on the right side due to the increased frequency of appendicitis and ruptured duodenal ulcers pus from the appendix can track up to the subphrenic space via the right paracolic gutter. The two paracolic gutters and the two paramesenteric gutters there are other smaller recesses including those around the duodenojejunal flexure cecum and the sigmoid colon. Left upper quadrant luq.

Subphrenic space splenorenal recess spleen tip left paracolic gutter and. This abdominal space may also be referred to as the paracolic recesses or the sulci paracolici but is different from the paramesenteric gutters. It is larger than the left paracolic gutter which is partially separated from the left subphrenic spaces by the phrenicocolic ligament. The left medial paracolic gutter.

Likewise the right paracolic gutter also acts as a conduit for pelvic infections to track up into the right subphrenic and subhepatic spaces 2.