Paracolic Gutter Subphrenic Recess

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.

Paracolic gutter subphrenic recess.

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. Peritonitis ruptured liver abscess ruptured appendicular abscess and may have an acute or chronic course. Additional views may.

It is also known as sulci paracolic and paracolic recesses. There are two paracolic gutters in the body the right and left lateral paracolic gutter. They are located between the diaphragm and the liver. What are the paracolic gutters rectouterine pouch retroperitoneal space ulnar gutter subphrenic space abdominal wall hepatic flexure peritoneal space ascendi.

The term refers mainly to four spaces in the abdominal cavity. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. The left medial paracolic gutter. Subphrenic space splenorenal recess spleen tip left paracolic gutter and.

Etiologically it means a channel adjacent to the abdominal wall. 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. Likewise the right paracolic gutter also acts as a conduit for pelvic infections to track up into the right subphrenic and subhepatic spaces 2.

Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter. There are left and right subphrenic spaces separated by the falciform ligament of the liver. Subphrenic abscesses refer to an accumulation of pus in the left or right subphrenic space. The right paracolic gutter is a component of the right inframesocolic space continuous superiorly with the right subhepatic and right subphrenic spaces.

Right subphrenic abscesses are often secondary to intra abdominal sepsis e g. Paracolic gutters help keep infectious material away from the body s internal organs. Morrison s pouch hepatorenal recess liver tip right paracolic gutter and. Peritoneal recesses or peritoneal gutters are the spaces formed by peritoneum draping over viscera.

This abdominal space may also be referred to as the paracolic recesses or the sulci paracolici but is different from the paramesenteric gutters.