Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter.
Paracolic gutter mass.
The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space.
It is the depression between the postero lateral wall of the abdomen and the lateral margins of the ascending and descending colon.
Etiologically it means a channel adjacent to the abdominal wall.
Disease may spread from the retroperitoneum which contains the aorta to the peritoneal space along the peritoneal cavity around aortic branches which extend into the mesenteries the so called subperitoneal space 4 5.
Tumors also occur at other sites of fluid stasis including the mesenteric folds right paracolic gutter and subhepatic and subphrenic spaces.
These images look quite similar to images of a pseudomyxoma peritonei which was discussed before.
In a male patient this is a very uncommon diagnosis.
Medical definition of paracolic gutter.
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There is a multi cystic mass extending from the pelvis along the right paracolic gutter to the upper abdomen.
The right paracolic gutter is continuous with the perisplenic space or area around the spleen.
The main paracolic gutter lies lateral to the colon on each side.
Paracolic gutters refer to open areas between the wall of the abdomen and the colon.
The right lateral paracolic gutter runs from the superiolateral aspect of the hepatic flexure of the colon down the lateral.
Peritoneal carcinomatosis is the most common secondary tumor affecting the peritoneal cavity.
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A less obvious medial paracolic gutter may be formed especially on the right side if the colon possesses a short mesentery for part of its length.
It is also known as sulci paracolic and paracolic recesses.
Either of two grooves formed by the peritoneum and lying respectively lateral to the ascending and descending colons.
It occurs most commonly with the cancers of the gastrointestinal tract and ovaries.
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