Pelvic Colic Gutter

It is the depression between the postero lateral wall of the abdomen and the lateral margins of the ascending and descending colon.

Pelvic colic gutter. The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space. Chronic pelvic pain can result from more than one condition. Right colic flexure anterior view right medial paracolic gutter. The lymph nodes that become inflamed are in a membrane that attaches the intestine to the abdominal wall.

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. 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. Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter. Etiologically it means a channel adjacent to the abdominal wall.

The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a. 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 continuous with the peritoneum as it descends into the pelvis over the pelvic brim.

It is also known as sulci paracolic and paracolic recesses. 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. 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. Contraindications for the use of omental flaps include adhesions.

The infracolic compartment contains the coils of small bowel which is separated from paracolic gutter on either side by ascending and descending colon. Mesenteric lymphadenitis is an inflammation of lymph nodes. These lymph nodes are among.