Paracolic Gutter Retroperitoneal

Ipsilateral psoas hematoma and fat stranding in the right paracolic gutter confirmed rupture of the hemorrhagic cyst from the right native kidney.

Paracolic gutter retroperitoneal.

Paracolic gutters are open areas between the wall of the abdomen and the colon. Organs are retroperitoneal if they have peritoneum on their anterior side only. Hemoperitoneum starts near the site of injury and flows along expected anatomic pathways. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon.

The retroperitoneal hematoma measured 13 4 mm diameter and severely compressed the inferior vena cava ivc fig. The retroperitoneal space retroperitoneum is the anatomical space sometimes a potential space in the abdominal cavity behind retro the peritoneum. The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space. There are two paracolic gutters.

What are the paracolic gutters rectouterine pouch retroperitoneal space ulnar gutter subphrenic space abdominal wall hepatic flexure peritoneal space ascendi. The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a. These gutters are used to drain infectious material away from the essential internal organs. Common sites of peritoneal implants are in the dependent aspects of the pelvis pouch of douglas in women or retrovesical space in men ileocecal region paracolic gutters subhepatic space subphrenic space and root of the mesentery.

The right lateral paracolic gutter. Transgastric endoscopic necrosectomy with nasocystic lavage is accepted as one of the standards of care for the management of walled off necrosis secondary to acute pancreatitis. In severe cases necrosis and inflammation can extend caudally toward the retroperitoneal spaces near the paracolic gutters. It has no specific delineating anatomical structures.

There are two paracolic gutters in the body the right and left lateral paracolic gutter. Hemorrhage from the liver typically flows in a caudal direction from the perihepatic spaces and hepatorenal fossa along the right paracolic gutter and into the cul de sac which is the rectouterine space in women and rectovesical space in men fig 1.