Its origin lies on the right side origin of the right paracolic gutter lies at the ascending portion of the colon at the right hepatic flexure or the point where the ascending colon turns at a right angle to form the transverse colon.
Paracolic gutter femoral vein.
How may fluid get from the left paracolic gutter to the thorax.
Both paracolic spaces are in continuity with the pelvic peritoneal spaces.
Portal to portal or portal to caval.
The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space.
The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a.
This is why this patient also has a hepatocellular carcinoma with cirrhosis ascites portal hypertension portacaval anastomosis and splenomegaly.
In the setting of abdominal pain whether acute or chronic ct is helpful and frequently essential in discovering the underlying cause fat stranding is a common finding on ct of the abdomen and when present it directs the radiologist s attention to the site of pathology.
The main paracolic gutter lies lateral to the colon on each side.
What makes up the portal triad.
Due to back flow buildup in these veins creates this condition.
However there is a wide differential for this pattern.
The external iliac vein eiv is located along the pelvic brim between the inguinal ligament and the sacroiliac joint.
2 ruq view hepatorenal space subphrenic space right paracolic gutter liver tip right thoracic cavity 3 luq view splenorenal space subphrenic space left paracolic gutter left thoracic cavity 4 pelvic view longitudinal and transverse view of the bladder.
The right paracolic gutter is a component of the right inframesocolic space continuous superiorly with the right subhepatic and right subphrenic spaces it is larger than the left paracolic gutter which is partially separated from the left subphrenic spaces by the phrenicocolic ligament.
A less obvious medial paracolic gutter may be formed especially on the right side if the colon.
It is smaller than the right paracolic gutter.
The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon.
Both paracolic spaces are in continuity with the pelvic peritoneal spaces.
The right lateral paracolic gutter runs along the right side of the cavity of the abdomen.
The left medial paracolic gutter.
Hepatic artery proper portal vein bile duct.
The left paracolic gutter is a component of the left inframesocolic space partially separated from the left subphrenic spaces by the phrenicocolic ligament.