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 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.
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.
A hepatic pseudocyst displaces the left gastric artery to the left.
Infected peritoneal fluids get a passageway through these gutters to other compartments of the abdominal cavity.
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.
Fluid on ct is relatively hypodense dark on ct.
The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside 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.
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.
32 had free fluid in luq.
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 right paracolic gutter is continuous with the perisplenic space or area around the spleen.
The right lateral paracolic gutter.
The left medial paracolic gutter.
Fluid in the pelvis may ascend the left paracolic gutter 5 but is stopped by the phrenicocolic ligament pcl.
4 in paracolic gutter.
Dense fluid may suggest hemoperitoneum especially in the context of trauma.
The right and left paracolic gutter are connected to subphrenic spaces proximally and to the pelvic area at the distal end.
1 in subphrenic space.
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Left paracolic gutter inferior to spleen.
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.
405 fasts reviewed 100 included.
