Fluid In The Left Paracolic Gutter

A less obvious medial paracolic gutter may be formed especially on the right side if the colon.

Fluid in the left paracolic gutter. Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity. The left medial paracolic gutter. 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.

Presence of large amounts of free intraperitoneal fluid in the distal aspect of the left paracolic gutter. Pathologic fluid can pass between the supracolic and infracolic compartments via the paracolic gutters the peritoneal spaces lateral to the ascending and descending colon. 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 medial paracolic gutter.

The main paracolic gutter lies lateral to the colon on each side. The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. Drainage in patients lying down can be reversed with infectious material from an infected appendix located near the cecum running up the right paracolic gutter. Dense fluid may suggest hemoperitoneum especially in the context of trauma.

The paracolic gutter is associated with a subphrenic abscess. 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 gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon. There are really three places where free fluid can potentially collect in the left upper quadrant the subphrenic space between spleen and diaphragm splenorenal recess between spleen and kidney and left paracolic gutter inferior to spleen.

A less obvious medial paracolic gutter may be formed especially on the right side if the colon. 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. The main paracolic gutter lies lateral to the colon on each side. Paracolic gutters information including symptoms causes diseases symptoms treatments and other medical and health issues.