Paracolic Gutter Metastasis

Etiologically it means a channel adjacent to the abdominal wall. Their deposition and growth occur at particular sites due to relative stasis of ascitic fluid 1 undersurface of the diaphragm due to negative pressure and capillary force omenta tendency to move toward the areas of peritoneal irritation recto uterine space pouch of douglas right lower quadrant region of ileocaecal junction left lower quadrant superior aspect of sigmoid mesocolon and right paracolic gutter are prone for metastatic implants. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon.

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The left gutter runs between the descending colon and the abdominal wall and just like the right gutter empties into the lower abdomen and pelvic area.

Paracolic gutter metastasis.

Paracolic gutters refer to open areas between the wall of the abdomen and the colon. Spread of deposits to the right subhepatic and subphrenic spaces is also frequently seen especially in ovarian cancer. Almost 90 of patients with ovarian cancer have peritoneal implants at post mortem and 60 70 have ascites 24 25. A less obvious medial paracolic gutter may be formed especially on the right side if the colon.

The right paracolic gutter is continuous with the perisplenic space or area around the spleen. Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter. The left medial paracolic gutter. It is also known as sulci paracolic and paracolic recesses.

Mucous and attached tumor are usually observed. On ct seeded metastases appear as nodular or plaque like soft tissue masses in association with ascites. The main paracolic gutter lies lateral to the colon on each side. In the greater omentum under the right diaphragm in the paracolic gutters bilaterally around the liver and gallbladder in the abdominal cavity.

The right paracolic gutter.

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Paracolic Gutter Metastasis

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Pneumoperitoneum Radiology Case Radiopaedia Org Radiology Radiology Imaging Medical Imaging

Sxetikh Eikona Small Bowel Obstruction Secondary Disease

Morison S Pouch Anatomical Review And Evaluation Of Pathologies And Disease Spread On Cross Sectional Imaging Springerlink

Ct Case Studies Http Ctisus Com Responsive Teachingfiles Adrenal 393953 Medical Radiology Adrenals Case Study Study

Epos Trade

The left gutter runs between the descending colon and the abdominal wall and just like the right gutter empties into the lower abdomen and pelvic area.

The Peritoneum What Nuclear Radiologists Need To Know Sciencedirect

Abdominal Wall Mesentery Peritoneum And Vessels Radiology Key

Epos

Http Pdf Posterng Netkey At Download Index Php Module Get Pdf By Id Poster Id 40482

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