Pelvic Colic Gutter

It extends from the right colic hepatic flexure surrounds the cecum and enters the pelvic cavity.

Pelvic colic gutter.

Recently doctors have recognized that some pelvic pain particularly chronic pelvic pain can also arise from muscles and connective tissue ligaments in the structures of the pelvic floor. Mesenteric lymphadenitis is an inflammation of lymph nodes. Right colic flexure anterior view right medial paracolic gutter. These lymph nodes are among.

The lymph nodes that become inflamed are in a membrane that attaches the intestine to the abdominal wall. The right lateral paracolic gutter runs from the superiolateral aspect of the hepatic flexure of the colon down the lateral aspect of the ascending colon and around the cecum. Chronic pelvic pain can result from more than one condition. Pelvic pain can arise from your digestive reproductive or urinary system.

Pelvic compartment mainly contains bladder rectum and genital organ prostate seminal vesicle in male and uterus in female. It is the depression between the postero lateral wall of the abdomen and the lateral margins of the ascending and descending colon. It is also known as sulci paracolic and paracolic recesses. It is continuous with the peritoneum as it descends into the pelvis over the pelvic brim.

On the right hand side the right lateral paracolic gutter is found lateral to the ascending colon and medial to the lateral part of the anterior abdominal wall. The left gutter runs between the descending colon and the abdominal wall and just like the right gutter empties into the lower abdomen and pelvic area. Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter. Then the flap is tunneled laterally along the left or right colic gutter to the pelvic floor where it is attached to the peritoneal covering of the pelvis or wrapped around the coloanal anastomoses.

The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space. Etiologically it means a channel adjacent to the abdominal wall. This gutter is however much smaller because it is restricted at the top by the phrenicocolic ligament or the ligament supporting the top left edge of the colon.