Paracolic Gutter Space Bleeding

It normally contains only a thin film of peritoneal fluid which consists of water electrolytes leukocytes and antibodies.

Paracolic gutter space bleeding.

Fluid from an infected appendix can track up the right paracolic gutter to the hepatorenal recess. The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a. This fluid acts as a lubricant enabling free movement of the abdominal viscera and the antibodies in the fluid fight infection. Visualize the left subdiaphragmatic space the most important area in the left upper quadrant splenorenal space and left paracolic gutter.

Visualize the right subdiaphragmatic space hepatorenal recess morison pouch the most sensitive recess for upper abdominal free fluid and the right paracolic gutter. The inframesocolic space also contains paracolic gutters which are peritoneal recesses that are inferolateral extensions of their corresponding inframesocolic spaces on the posterior abdominal wall lateral to the ascending and descending colon respectively. The anterior pararenal space is the portion of the retroperitoneum that lies between the posterior surface of the parietal peritoneum and the anterior reflection of the perirenal fascia. B left upper quadrant window.

It contains the duodenum pancreas and retroperitoneal segments of the ascending and descending colon it also contains the roots of the small bowel mesentery and transverse mesocolon. What are the paracolic gutters rectouterine pouch retroperitoneal space ulnar gutter subphrenic space abdominal wall hepatic flexure peritoneal space ascendi. Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity. Bile pus or blood released from viscera anywhere along its length may run along the gutter and collect in sites quite remote from the organ of origin.

Paracolic gutters function to drain fluid that leaks from the colon such as infectious matter pus or bile and to prevent infection or damage to the outer margin of the colon. The paracolic gutter is associated with a subphrenic abscess. This drainage occurs in much the same way that the gutters on a house draw the rain off the roof.