What does paracolic gutter do?

These gutters are clinically important because they allow a passage for infectious fluids from different compartments of the abdomen. For example; fluid from an infected appendix can track up the right paracolic gutter to the hepatorenal recess.

What causes fluid in the paracolic gutter?

Clinical significance. Bile, pus, or blood released from viscera anywhere along its length may run along the paracolic gutter, and collect in sites quite remote from the organ of origin. In supine patients, infected fluid from the right iliac fossa may ascend in the paracolic gutter to enter the lesser sac.

How many paracolic gutters are there?

two paracolic gutters
The paracolic gutters (paracolic sulci, paracolic recesses) are spaces between the colon and the abdominal wall. There are two paracolic gutters: The right lateral paracolic gutter. The left lateral paracolic gutter.

Is the paracolic gutter intraperitoneal?

The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. It is continuous with the peritoneum as it descends into the pelvis over the pelvic brim.

What is left paracolic gutter?

The left paracolic gutter is a component of the left inframesocolic space partially separated from the left subphrenic spaces by the phrenicocolic ligament. It is smaller than the right paracolic gutter. Both paracolic spaces are in continuity with the pelvic peritoneal spaces.

What is a omentum?

The Omentum is a large flat adipose tissue layer nestling on the surface of the intra-peritoneal organs. Besides fat storage, omentum has key biological functions in immune-regulation and tissue regeneration.

When a patient is in the supine position where is fluid in the peritoneal cavity most likely to collect and why?

In the upright position, most fluid accumulates in the pelvis, whereas in the supine position most fluid is found in the right and left paracolic gutter and in the pelvis [8].

What is lateral Conal fascia?

The lateroconal fascia is the peritoneal thickening which extends anterolaterally from the adjoining merging lateral borders of the anterior and posterior perirenal fasciae. …

What separates the Retroperitoneum?

The retroperitoneum is divided into three distinct compartments: the posterior pararenal space, bounded by the transversalis fascia posteriorly; the anterior pararenal space, bounded by parietal peritoneum anteriorly; and the perirenal space, bounded by the perirenal fascia (Fig 12a, 12b).

Where is left paracolic gutter?

What is the purpose of omentum?

Besides fat storage, omentum has key biological functions in immune-regulation and tissue regeneration. Omentum biological properties include neovascularization, haemostasis, tissue healing and regeneration and as an in vivo incubator for cells and tissue cultivation.

What are the side effects of removing the omentum?

There are two types of omentectomy. A supracolic omentectomy, or total omentectomy, removes the entire omentum….Complications can include:

• Pain.
• Lymphedema – buildup of fluid caused by lymph-vessel blockage.
• Nerve damage that could be permanent.

What do you need to know about the paracolic gutter?

The paracolic gutters have exposed the retro-visceral pouch and retro-uterine pouch (or, pouch of Douglas) in the pelvic cavity of men and women to infected fluids, blood and pus from abdominal and pelvic organs. The abdominal abscission shows vague symptoms which are generally ignored or looked upon.

How is the paracolic gutter related to subphrenic abscess?

The paracolic gutter is associated with a subphrenic abscess. The right and left paracolic gutter are connected to subphrenic spaces proximally and to the pelvic area at the distal end. Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity.

Where are the paracolic recesses in the colon?

The paracolic gutters ( paracolic sulci, paracolic recesses) are spaces between the colon and the abdominal wall . There are two paracolic gutters:

Is the left gutter continuous with the pherisplenic space?

The presence of this ligament prevents the left gutter to be continuous with the pherisplenic space. These gutters along with their cousins left and right perimesenteric gutters form the four major open spaces if the abdominal cavity.