Paracolic Gutter Subphrenic Recess

The paracolic gutter paracolic sulci paracolic recesses is a space between the colon and the abdominal wall.

Paracolic gutter subphrenic recess. Etiologically it means a channel adjacent to the abdominal wall. Peritonitis ruptured liver abscess ruptured appendicular abscess and may have an acute or chronic course. It is also known as sulci paracolic and paracolic recesses. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending 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. Rectovesical pouch male patients or in female patients rectouterine pouch of douglas. Morrison s pouch hepatorenal recess liver tip right paracolic gutter and. It is larger than the left paracolic gutter which is partially separated from the left subphrenic spaces by the phrenicocolic ligament.

Subphrenic abscesses refer to an accumulation of pus in the left or right subphrenic space. Left upper quadrant luq. This abdominal space may also be referred to as the paracolic recesses or the sulci paracolici but is different from the paramesenteric gutters. There are two paracolic gutters in the body the right and left lateral paracolic gutter.

A less obvious medial paracolic gutter may be formed especially on the right side if the colon. Right subphrenic abscesses are often secondary to intra abdominal sepsis e g. Subphrenic space splenorenal recess spleen tip left paracolic gutter and. The left medial paracolic gutter.

Paracolic gutters help keep infectious material away from the body s internal organs. 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. Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter. 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 right paracolic gutter is a component of the right inframesocolic space continuous superiorly with the right subhepatic and right subphrenic spaces. The main paracolic gutter lies lateral to the colon on each side. Additional views may. What are the paracolic gutters rectouterine pouch retroperitoneal space ulnar gutter subphrenic space abdominal wall hepatic flexure peritoneal space ascendi.

They are located between the diaphragm and the liver.