Left Paracolic Gutter Fluid

405 fasts reviewed 100 included.

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. 32 had free fluid in luq. It can be compared to fluid in the gallbladder or stomach. 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.

The left paracolic gutter is larger than the right which together with the partial barrier provided by the phrenicocolic ligament also known as hensing s ligament may explain why left subphrenic collections are more common than right subphrenic collections 1. The left medial paracolic gutter. Fluid may sit within the peritoneal space or paracolic gutters or may be interposed between bowel loops or around solid organs e g. The paracolic gutter is associated with a subphrenic abscess.

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. Fluid on ct is relatively hypodense dark on ct. Paracolic gutters refer to open areas between the wall of the abdomen and the colon. The right paracolic gutter is continuous with the perisplenic space or area around the spleen.

Download as powerpoint open in image viewer download as powerpoint open in image viewer. The right lateral paracolic gutter. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity.

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. 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 left paracolic gutter runs between the descending colon and the abdominal wall and empties into the lower abdomen and pelvic area.

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. Pseudocysts should be differentiated from lesser sac fluid collections which envelop the left gastric artery arrow or displace it to the right. 4 in paracolic gutter.

The right and left paracolic gutter are connected to subphrenic spaces proximally and to the pelvic area at the distal end.