Peritoneal carcinomatosis is the most common secondary tumor affecting the peritoneal cavity.
Paracolic gutter mass.
There is a multi cystic mass extending from the pelvis along the right paracolic gutter to the upper abdomen.
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 the depression between the postero lateral wall of the abdomen and the lateral margins of the ascending and descending colon.
It is also known as sulci paracolic and paracolic recesses.
Between the outer wall of the colon and back side of the abdominal wall there is an open space known as the paracolic gutter.
Medical definition of paracolic gutter.
In a male patient this is a very uncommon diagnosis.
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The main paracolic gutter lies lateral to the colon on each side.
Either of two grooves formed by the peritoneum and lying respectively lateral to the ascending and descending colons.
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.
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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.
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The right paracolic gutter is continuous with the perisplenic space or area around the spleen.
These images look quite similar to images of a pseudomyxoma peritonei which was discussed before.
Tumors also occur at other sites of fluid stasis including the mesenteric folds right paracolic gutter and subhepatic and subphrenic spaces.
The right paracolic gutter is larger than the left and communicates freely with the right subphrenic space.
The right lateral paracolic gutter runs from the superiolateral aspect of the hepatic flexure of the colon down the lateral.
The paracolic spaces gutters are located lateral to the peritoneal reflections of the left and right sides of the colon fig 8a.
It occurs most commonly with the cancers of the gastrointestinal tract and ovaries.
