Left Paracolic Gutter Retroperitoneal

The left medial paracolic gutter.

Left paracolic gutter retroperitoneal.

As was mentioned earlier fluid collections in the paracolic and left inframesocolic spaces may communicate with the pelvic spaces fig 10. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Interfascial spread is another method of communication between the abdomen and pelvis and also allows communication across the midline through the retromesenteric plane.

Thorough medline search revealed only few case reports of ih with the gate located in the paracolic gutter adjacent to the colon 5 6. The left lateral paracolic gutter. There are two paracolic gutters in a human body. On the left side the retrorenal plane and the perirenal space extend to the left diaphragm.

The right lateral paracolic gutter. 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. In our case a retroperitoneal hernia was located in the left paracolic gutter lateral to the sigmoid colon. 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 main paracolic gutter lies lateral to the colon on each side. A less obvious medial paracolic gutter may be formed especially on the right side if the colon. The main paracolic gutter lies lateral to the colon on each side.