Your fast exam is incomplete if you do not visualize this area.
Right paracolic gutter ultrasound.
In this section ultrasound ultrasound education faculty image of the fortnight toggle section.
The main paracolic gutter lies lateral to the colon on each side.
A less obvious medial paracolic gutter may be formed especially on the right side if the colon possesses a short mesentery for part.
There are two paracolic gutters in a human body.
The left lateral paracolic gutter.
The right 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.
Ultrasound is variably sensitive depending on the size of the patient and the operator.
In thin patients relatively small volume of fluid can be found.
Abdominal case of the week cardiac ivc miscellaneous highlights procedure highlights lung ob gyn trauma soft tissue vascular msk.
Fluid may sit within the peritoneal space or paracolic gutters or may be interposed between bowel loops or around solid organs e g.
A less obvious medial paracolic gutter may be formed especially on the right side if the colon possesses a short mesentery for part.
The right and left paracolic gutters are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon.
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 are peritoneal recesses on the posterior abdominal wall lying alongside the ascending and descending colon.