Appendicitis Fluid In Paracolic Gutter

Appendix in the right paracolic gutter.

Appendicitis fluid in paracolic gutter. The patient presented with an elevated white blood cell count and right upper quadrant pain. Fluid from an infected appendix can track up the right paracolic gutter to the hepatorenal recess. In addition symptoms resembling those of gastroenteritis may result from colonic irritation. Bile pus or blood released from viscera anywhere along its length may run along the gutter and collect in sites quite remote from the organ of origin.

Abdominal pelvic computed tomography showed abnormal fluid collection in the subdiaphragmatic lateral subhepatic and capsular regions extending into the right paracolic gutter see accompanying. Trace periappendiceal hypoechoic fluid is seen which is nonspecific and may relate to edema or trace dependent fluid in paracolic gutter. Left there is pericholecystic fluid and free fluid in the right paracolic gutter which is caused by. 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.