The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon.
Paracolic gutter image.
The main paracolic gutter lies lateral to the colon on each side.
Visualize the left subdiaphragmatic space the most important area in the left upper quadrant splenorenal space and left paracolic gutter.
Paracolic gutters help keep infectious material away from the body s internal organs.
There are two paracolic gutters.
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.
The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon.
Fluid in the pelvis may ascend the left paracolic gutter 5 but is stopped by the phrenicocolic ligament pcl.
A less obvious medial paracolic gutter may be formed especially on the right side if the colon.
B left upper quadrant window.
The left lateral paracolic gutter.
Visualize the right subdiaphragmatic space hepatorenal recess morison pouch the most sensitive recess for upper abdominal free fluid and the right paracolic gutter.
The paracolic gutters paracolic sulci paracolic recesses are spaces between the colon and the abdominal wall.
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.
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.
The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space.
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.
In this section ultrasound ultrasound education faculty image of the fortnight toggle section.
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.
Hemoperitoneum starts near the site of injury and flows along expected anatomic pathways.
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The right lateral paracolic gutter.
The right lateral paracolic gutter.
The left lateral paracolic gutter.
