Left Paracolic Gutter Fluid

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.

Left paracolic gutter fluid.

Pseudocysts should be differentiated from lesser sac fluid collections which envelop the left gastric artery arrow or displace it to the right. 405 fasts reviewed 100 included. 1 in subphrenic space. 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. The left paracolic gutter runs between the descending colon and the abdominal wall and empties into the lower abdomen and pelvic area. 4 in paracolic gutter. The left medial paracolic gutter.

Left paracolic gutter inferior to spleen. Fluid in the pelvis may ascend the left paracolic gutter 5 but is stopped by the phrenicocolic ligament pcl. The right and left paracolic gutter are connected to subphrenic spaces proximally and to the pelvic area at the distal end. 32 had free fluid in luq.

Paracolic gutters refer to open areas between the wall of the abdomen and the colon. Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Fluid on ct is relatively hypodense dark on ct.

A hepatic pseudocyst displaces the left gastric artery to the left. Fluid may sit within the peritoneal space or paracolic gutters or may be interposed between bowel loops or around solid organs e g. 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. There are two paracolic gutters.

The right paracolic gutter is continuous with the perisplenic space or area around the spleen. The right lateral paracolic gutter. 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. Download as powerpoint open in image viewer download as powerpoint open in image viewer.

Dense fluid may suggest hemoperitoneum especially in the context of trauma.