Right Paracolic Gutter Ultrasound

A less obvious medial paracolic gutter may be formed especially on the right side if the colon possesses a short mesentery for part.

Right paracolic gutter ultrasound. Your fast exam is incomplete if you do not visualize this area. The right lateral paracolic gutter. The left lateral paracolic gutter. Peritoneal septa and loculated perihepatic fluid may be seen and gallbladder wall thickening may also be depicted fig 14a 14b 40 41.

A less obvious medial paracolic gutter may be formed especially on the right side if the colon possesses a short mesentery for part. Ultrasound is variably sensitive depending on the size of the patient and the operator. There are two paracolic gutters in a human body. Abdominal case of the week cardiac ivc miscellaneous highlights procedure highlights lung ob gyn trauma soft tissue vascular msk.

Blood in the peritoneal cavity from trauma is often first seen in the right paracolic gutter at the inferior tip of the liver. The right and left paracolic gutters both lies on the lateral side of posterior abdominal wall alongside the ascending and descending colon are the peritoneal recesses. Fluid may sit within the peritoneal space or paracolic gutters or may be interposed between bowel loops or around solid organs e g. The main paracolic gutter lies lateral to the colon on each side.

The main paracolic gutter lies lateral to the colon on each side. Fluid and fat stranding can be seen extending from the pelvis into the right upper quadrant by way of the paracolic gutter. In this section ultrasound ultrasound education faculty image of the fortnight toggle section.