Left Paracolic Gutter Radiology

Both paracolic spaces are in continuity with the pelvic peritoneal spaces.

Left paracolic gutter radiology.

Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity. The right and left paracolic gutter are connected to subphrenic spaces proximally and to the pelvic area at the distal end. On the left images of a male patient who presented with a lower abdominal mass. There is a multi cystic mass extending from the pelvis along the right paracolic gutter to the upper abdomen.

The main paracolic gutter lies lateral to the colon on each side. Fluid in the pelvis may ascend the left paracolic gutter 5 but is stopped by the phrenicocolic ligament pcl. The left lateral paracolic gutter. These images look quite similar to images of a pseudomyxoma peritonei which was discussed before.

Fluid in the left inframesocolic space 3 seeks the pelvis directly or is deposited on the superior aspect of the sigmoid mesocolon and then flows into the pelvis 4. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. The inferior poles of the kidney and spleen should be visualized along with the superior portion of the left paracolic gutter.

The paracolic gutter is associated with a subphrenic abscess. The right paracolic gutter is a component of the right inframesocolic space continuous superiorly with the right subhepatic and right subphrenic spaces it is larger than the left paracolic gutter which is partially separated from the left subphrenic spaces by the phrenicocolic ligament. 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. Left pdh develops through the fossa of landzert into the descending mesocolon and left of the transverse mesocolon and results from failure of fusion of the inferior mesentery to the parietal peritoneum 29.

The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space. The connection between the left paracolic gutter and the left subphrenic space is partially limited by the phrenicocolic ligament. The left medial paracolic gutter. The main paracolic gutter lies lateral to the colon on each side.