Paracolic Gutter Femoral Vein

Gross anatomy origin posterior to inguinal ligament within lacuna vasorum 1 as continuation of femoral vein termination t.

Paracolic gutter femoral vein.

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. Both paracolic spaces are in continuity with the pelvic peritoneal spaces. Due to back flow buildup in these veins creates this condition.

The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. The left medial paracolic gutter. This is why this patient also has a hepatocellular carcinoma with cirrhosis ascites portal hypertension portacaval anastomosis and splenomegaly. A less obvious medial paracolic gutter may be formed especially on the right side if the colon.

This allows the user to perfectly see the different parts of the peritoneal cavity omental bursa paracolic gutters mesentery mesocolon. Portal to portal or portal to caval. 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.

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 right paracolic gutter is larger than the left and communicates freely with the right subphrenic space. The main paracolic gutter lies lateral to the colon on each side. The right lateral paracolic gutter runs along the right side of the cavity of the abdomen.

Both paracolic spaces are in continuity with the pelvic peritoneal spaces. How may fluid get from the left paracolic gutter to the thorax. However there is a wide differential for this pattern. 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.

What makes up the portal triad. The external iliac vein eiv is located along the pelvic brim between the inguinal ligament and the sacroiliac joint.