Left Paracolic Gutter Fluid

The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon.

Left paracolic gutter fluid.

It can be compared to fluid in the gallbladder or stomach. Fluid in the left inframesocolic space 3 seeks the pelvis directly or is deposited on the superior aspect of the sigmoid mesocolon and then flows into the pelvis 4. Pathologic fluid can pass between the supracolic and infracolic compartments via the paracolic gutters the peritoneal spaces lateral to the ascending and descending colon. The paracolic gutter is associated with a subphrenic abscess.

A hepatic pseudocyst displaces the left gastric artery to the left. 32 had free fluid in luq. The right paracolic gutter is continuous with the perisplenic space or area around the spleen. Fluid in the pelvis may ascend the left paracolic gutter 5 but is stopped by the phrenicocolic ligament pcl.

Dense fluid may suggest hemoperitoneum especially in the context of trauma. There are two paracolic gutters. Fluid may sit within the peritoneal space or paracolic gutters or may be interposed between bowel loops or around solid organs e g. The right and left paracolic gutter are connected to subphrenic spaces proximally and to the pelvic area at the distal end.

405 fasts reviewed 100 included. The left paracolic gutter runs between the descending colon and the abdominal wall and empties into the lower abdomen and pelvic area. Pseudocysts should be differentiated from lesser sac fluid collections which envelop the left gastric artery arrow or displace it to the right. Left paracolic gutter inferior to spleen.

6 or 6 if you re a math whiz had isolated luq free fluid 86 5 of 6 had isolated splenic injury the other had renal lac liver lac and ivc injury. 1 in subphrenic space. 4 in paracolic gutter. Fluid on ct is relatively hypodense dark on ct.

In a supine position gravity causes fluid in the upper abdomen to flow from the left upper quadrant and right paracolic gutter into the right upper quadrant. Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity. Paracolic gutters refer to open areas between the wall of the abdomen and the colon. The left medial paracolic gutter.

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